Provider Demographics
NPI:1033753157
Name:SINKUS, MANETTE (RN, RNFA)
Entity type:Individual
Prefix:
First Name:MANETTE
Middle Name:
Last Name:SINKUS
Suffix:
Gender:F
Credentials:RN, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-7012
Mailing Address - Country:US
Mailing Address - Phone:808-779-8669
Mailing Address - Fax:
Practice Address - Street 1:21250 HAWTHORNE BLVD STE 435
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-5504
Practice Address - Country:US
Practice Address - Phone:310-326-2102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-31
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA599187163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant