Sisto, Domenick J
Sisto, Domenick J is an sole proprietor health care provider with primary practice located at 4955 Van Nuys Blvd Suite 615, Sherman Oaks CA 91403-1801. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Sisto, Domenick J can be contacted via phone (818) 905-2222.Contact Information
Primary practice address
4955 Van Nuys Blvd Suite 615
Sherman Oaks CA 91403-1801
Phone: (818) 905-2222
Fax: (818) 905-8702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G52313 | California |
Profile Details
| NPI number | 1568427029 |
|---|---|
| LBN Legal business name | Sisto, Domenick J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Nov 22nd, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568427029 | NPPES |
| California | Other | DA0572 | RAILROAD CARRIER |
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