Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | G26392 | CA |
N | 2080P0207X | Pediatric Hematology-Oncologist | G26392 | CA |
NPI | 1225059546 |
---|---|
Provider Name | Dr. John Russell Sinnhuber |
First Address | Salinas, CA 93906-6010 |
Second Address | Salinas, CA 93906-3100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 30/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F90624 | (02) | CA |