Jimmy Sianipar

NPI 1942749072 · on the registry since 2017

Practice

Address: 1730 W Olympic Blvd
Suite 300
Los Angeles, CA 90015
Phone: (213) 375-3830
Fax: (213) 553-1833
Organisation at this address: Samra University
United Spine Care
Samra Hamsoa, Inc.
Apait Health Center
Samra Laboratory Service, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 50

Registry record

Primary taxonomy: 172V00000X
172V00000X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-02-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California