Individual
SULTANALI ALIDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 E SOUTH ST, SUITE 209, LAKEWOOD, CA 90805-4549
(562) 630-3434
(562) 630-5240
Mailing address
3300 E SOUTH ST, SUITE 209, LAKEWOOD, CA 90805-4549
(562) 630-3434
(562) 630-5240
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A47735
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A477350
—
CA
Enumeration date
07/15/2005
Last updated
09/27/2012
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