Basic Information
| Provider Information | |||||||||
| NPI: | 1770966178 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DUMITRA | ||||||||
| FirstName: | SINZIANA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D., MSC(EPI), FRCS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1500 DURATE ROAD CALIFORNIA | ||||||||
| Address2: | MOB L001 | ||||||||
| City: | DUARTE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 91010 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1500 DURATE ROAD CALIFORNIA | ||||||||
| Address2: | MOB L001 | ||||||||
| City: | DUARTE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 91010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6262564673 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/02/2015 | ||||||||
| LastUpdateDate: | 04/13/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2086X0206X | A112637 | CA | Y | Allopathic & Osteopathic Physicians | Surgery | Surgical Oncology |
No ID Information.