Sisto, Dominique
Sisto, Dominique is an individual health care provider with primary practice located at 4955 Van Nuys Blvd Suite 615, Sherman Oaks CA 91403-1801. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Sisto, Dominique 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:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 52023 | California |
Profile Details
| NPI number | 1225431992 |
|---|---|
| LBN Legal business name | Sisto, Dominique |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 8th, 2014 |
| Last updated | Oct 8th, 2014 - about 11 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.
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