MR. JERRY SIN NPI 1770643702

NPI Information

NPI: 1770643702
Provider Name: MR. JERRY SIN
Classification: Driver - 172A00000X
Entity Type: Individual
Address:
1013 E LURAY STREET
LONG BEACH, CA
ZIP 90807
Phone: (562) 728-1791
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MR. Jerry Sin is a driver in Long Beach, CA. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. MR. Jerry Sin NPI is 1770643702. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1013 E LURAY STREET
LONG BEACH, CA
ZIP 90807-019
Phone: (562) 728-1791
Fax: (562) 728-1791

The enumeration date for this NPI number is 12/11/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	172A00000X	Driver				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MTN00845F	MEDICAID	CALIFORNIA

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

NPI Synchronization or Removal

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