Zide, Sheldon L

Zide, Sheldon L is an individual health care provider with primary practice located at 17100 Euclid Street Radiology Department, Fountain Valley CA 92708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Zide, Sheldon L can be contacted via phone (714) 966-7200.

Contact Information

Primary practice address
17100 Euclid Street Radiology Department Fountain Valley CA 92708
Phone: (714) 966-7200
Fax: (714) 966-8039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G44605 California

Profile Details

NPI number 1295785921
LBN Legal business name Zide, Sheldon L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Nov 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295785921 NPPES
California Other 00G446050 BLUE SHIELD
California MEDICAID 00G446050 BLUE SHIELD

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