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
Phone: (323) 783-7507
Fax: (323) 783-8747
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467560045 | NPPES |
California | MEDICAID | 00A679950 |
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