Skip Navigation

Provider Information for 1841209541

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

LYNN SYDOR MD

Other Name:   LYNN ISRAELIT
Gender: FEMALE

Individual NPI: 1841209541

Calendar   Last Updated:  2019-11-07
  Certification Date: 

Details

Name Value
NPI 1841209541
Enumeration Date 2006-08-05
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 325 DISTEL CIR
LOS ALTOS, CA 94022-1408
United States

Phone: 650-652-8310 | Fax:
View Map External Link
Primary Practice Address 1501 TROUSDALE DR 2ND FLOOR
BURLINGAME, CA 94010-4506
United States

Phone: 650-652-8310 | Fax: 650-652-8311
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other NEIGHBORHOOD HEALTH PLAN MA 0014524
Other HARVARD PILGRIM MA PD179
Other CIGNA MA 1968447-002
Other TUFTS HEALTH PLAN MA 075923
Other BLUE CROSS MA J30540
MEDICAID MA 3179541
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207N00000X - Dermatology CA G88041
No 207N00000X - Dermatology MA 75923