Provider Demographics
NPI:1588791123
Name:SINAY, KIA (LAC)
Entity type:Individual
Prefix:
First Name:KIA
Middle Name:
Last Name:SINAY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:800 MANHATTAN BEACH BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-4951
Mailing Address - Country:US
Mailing Address - Phone:310-937-9640
Mailing Address - Fax:310-937-9641
Practice Address - Street 1:800 MANHATTAN BEACH BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-4951
Practice Address - Country:US
Practice Address - Phone:310-937-9640
Practice Address - Fax:310-937-9641
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC5625171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist