Sydorak, Roman M

Sydorak, Roman M is an sole proprietor health care provider with primary practice located at 4760 W Sunset Blvd 3Rd Floor, Los Angeles CA 90027-6063. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Sydorak, Roman M can be contacted via phone (323) 783-7507.

Contact Information

Primary practice address
4760 W Sunset Blvd 3Rd Floor Los Angeles CA 90027-6063
Fax: (323) 783-8747
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X A67995 California

Profile Details

NPI number 1467560045
LBN Legal business name Sydorak, Roman M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2006
Last updated Dec 1st, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467560045 NPPES
California MEDICAID 00A679950

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