Individual
SYDNEY SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9315 WHITTIER BLVD, PICO RIVERA, CA 90660-2746
(562) 695-0900
Mailing address
9315 WHITTIER BLVD, PICO RIVERA, CA 90660-2746
(562) 695-0900
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
55553
CA
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136A00000X
NON MEDICARE
CA
01
—
55553
NON MEDICARE
CA
Enumeration date
01/09/2019
Last updated
01/09/2019
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