Lyass, Sergey
Lyass, Sergey is an sole proprietor health care provider with primary practice located at 8631 W 3Rd St 900, Los Angeles CA 90048-5901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lyass, Sergey can be contacted via phone (310) 623-1786.Contact Information
Primary practice address
8631 W 3Rd St 900
Los Angeles CA 90048-5901
Phone: (310) 623-1786
Fax: (310) 623-1922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A80181 | California |
Profile Details
| NPI number | 1316996911 |
|---|---|
| LBN Legal business name | Lyass, Sergey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2006 |
| Last updated | Oct 23rd, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316996911 | NPPES |
| California | Other | 11542441 | CAQH ID# |
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