Sydorak, Gerald
Sydorak, Gerald is an sole proprietor health care provider with primary practice located at 1800 Sullivan Ave Rm 507 , Daly City CA 94015-2225. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Sydorak, Gerald can be contacted via phone (650) 697-7003.Contact Information
Primary practice address
1800 Sullivan Ave Rm 507
Daly City CA 94015-2225
Phone: (650) 697-7003
Fax: (650) 697-7065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G17750 | California |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | G17750 | California |
Profile Details
| NPI number | 1619019312 |
|---|---|
| LBN Legal business name | Sydorak, Gerald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1619019312 | NPPES |
| California | Other | G017750 | LICENSE |
| California | MEDICAID | YYY34803Y | LICENSE |
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