Individual
DR. SEMYON FAYNBOYM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19401 S VERMONT AVE STE K100K, TORRANCE, CA 90502-1029
(323) 638-4263
Mailing address
19401 S VERMONT AVE STE K100K, TORRANCE, CA 90502-1029
(323) 638-4263
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
01076211A
IN
2084P0800X
Psychiatry Physician
01076211A
IN
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
01076211A
IN
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
138237
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201099940
—
IN
Enumeration date
04/24/2012
Last updated
04/21/2021
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