Individual
DR. ALFRED A SIDHOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1211 W LA PALMA AVE STE 502, ANAHEIM, CA 92801-2812
(714) 776-7090
(714) 776-5632
Mailing address
1211 W LA PALMA AVE, STE 502, ANAHEIM, CA 92801-2812
(714) 776-7090
(714) 776-5632
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A35526
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A355260M92
—
CA
Enumeration date
06/23/2005
Last updated
04/20/2020
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