Individual
CARINE SIDHOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
RD
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-2000
Mailing address
2055 E BROADWAY UNIT 403, LONG BEACH, CA 90803-5762
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86075627
CA
Other
Enumeration date
04/07/2026
Last updated
04/22/2026
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