Sidhom, Alfred A

Sidhom, Alfred A is an individual health care provider with primary practice located at 1211 W La Palma Ave Ste 502 , Anaheim CA 92801-2812. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Sidhom, Alfred A can be contacted via phone (714) 776-7090.

Contact Information

Primary practice address
1211 W La Palma Ave Ste 502 Anaheim CA 92801-2812
Phone: (714) 776-7090
Fax: (714) 776-5632
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X A35526 California

Profile Details

NPI number 1114923265
LBN Legal business name Sidhom, Alfred A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Apr 20th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114923265 NPPES
California MEDICAID 00A355260M92

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