Individual
SONAM TANNA SIDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 BEVERLY BLVD STE 4221, WEST HOLLYWOOD, CA 90048-1804
(310) 423-6310
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A152602
CA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
A152602
CA
Other
Enumeration date
04/08/2016
Last updated
01/19/2024
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