Widyolar, Sheila Gayle
Widyolar, Sheila Gayle is an individual health care provider with primary practice located at 23961 Calle De Magdalena Suite 403, Laguna Hills CA 92653-3664. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Widyolar, Sheila Gayle can be contacted via phone (949) 452-3814.Contact Information
Primary practice address
23961 Calle De Magdalena Suite 403
Laguna Hills CA 92653-3664
Phone: (949) 452-3814
Fax: (949) 855-1007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G25056 | California |
Profile Details
| NPI number | 1174527105 |
|---|---|
| LBN Legal business name | Widyolar, Sheila Gayle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1174527105 | NPPES |
| California | MEDICAID | 00G250560 |
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