Individual
MRS. LAURA SYNIUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2865 ATLANTIC AVE, SUITE 109, LONG BEACH, CA 90806-1740
(562) 988-2020
(562) 490-2826
Mailing address
2865 ATLANTIC AVE, SUITE 109, LONG BEACH, CA 90806-1740
(562) 988-2020
(562) 490-2826
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A65729
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A65729
—
CA
01
—
A65729
STATE MEDICAL LICENSE
CA
01
—
GR0082390
MEDI-CAL GROUP NUMBER
CA
Enumeration date
10/05/2006
Last updated
07/09/2007
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