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DOMENICK J SISTO M D INC NPI 1710941539


NPI Information

NPI: 1710941539
Provider Name: DOMENICK J SISTO M D INC

Doing Business As: LOS ANGELES ORTHOPAEDIC INSTITUTE

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
38660 MEDICAL CENTER DRIVE
SUITE A250
PALMDALE, CA
ZIP 93551
Phone: (661) 267-7777
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DOMENICK J SISTO M D INC is a specialist in Palmdale, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DOMENICK J SISTO M D INC NPI is 1710941539. The provider is registered as an organization entity type.
The provider Is Doing Business As Los Angeles Orthopaedic Institute.

The provider's business location address is:

38660 MEDICAL CENTER DRIVE
SUITE A250
PALMDALE, CA
ZIP 93551-000
Phone: (661) 267-7777
Fax: (661) 267-7101

The provider's authorized official is Domenick J Sisto .
The authorized official title is President and has the following contact phone number (818) 905-2222.

The enumeration date for this NPI number is 4/17/2006 and was last updated on 1/27/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2174400000XSpecialist061942-71CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ36984ZOTHERCALIFORNIABLUE SHIELD -LANCASTER
2ZZZ36983ZOTHERCALIFORNIABLUE SHIELD-SHERMAN OAKS
3W11945BOTHERCALIFORNIAMEDICARE ID-VALENCIA
4DA0572OTHERCALIFORNIARAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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