Provider Demographics
NPI:1588988968
Name:SINI, MILO (ATC, CSCS, PTA)
Entity type:Individual
Prefix:
First Name:MILO
Middle Name:
Last Name:SINI
Suffix:
Gender:M
Credentials:ATC, CSCS, PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7033 LA TIJERA
Mailing Address - Street 2:J-102
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-2169
Mailing Address - Country:US
Mailing Address - Phone:310-237-5567
Mailing Address - Fax:
Practice Address - Street 1:7033 LA TIJERA
Practice Address - Street 2:J-102
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-2169
Practice Address - Country:US
Practice Address - Phone:310-237-5567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8904792255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer