Fishman, Sidney Mark
Fishman, Sidney Mark is an individual health care provider with primary practice located at 3801 Katella Ave Ste 425, Los Alamitos CA 90720-6901. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngic Allergy, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngic Allergy is his primary health care specialty. Fishman, Sidney Mark can be contacted via phone (562) 596-2925.Contact Information
Primary practice address
3801 Katella Ave Ste 425
Los Alamitos CA 90720-6901
Phone: (562) 596-2925
Fax: (562) 596-5703
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | AF7229455 | California |
| Allopathic & Osteopathic Physicians / Otolaryngic Allergy | 207YX0602X | AF7229455 | California |
| Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | AF7229455 | California |
Profile Details
| NPI number | 1417953043 |
|---|---|
| LBN Legal business name | Fishman, Sidney Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Apr 27th, 2010 - 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 | 1417953043 | NPPES |
| California | MEDICAID | 00G305900 |
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