Provider Demographics
NPI:1922248764
Name:CIRCLE MEDICAL GROUP INC
Entity type:Organization
Organization Name:CIRCLE MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:SINEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-868-0373
Mailing Address - Street 1:1223 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 1511
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-5400
Mailing Address - Country:US
Mailing Address - Phone:310-526-3150
Mailing Address - Fax:310-593-2799
Practice Address - Street 1:1223 WILSHIRE BLVD
Practice Address - Street 2:SUITE 1511
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-5400
Practice Address - Country:US
Practice Address - Phone:310-526-3150
Practice Address - Fax:310-593-2799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-05
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular SonographyGroup - Multi-Specialty
No246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Multi-Specialty
No247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABZ724AMedicare PIN