Individual
DR. NADINE ELAINE SIDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4440 EUCLID AVE # C, SAN DIEGO, CA 92115-4522
(619) 582-5105
(619) 582-5121
Mailing address
3089 CLAIREMONT DR STE C PMB 510, SAN DIEGO, CA 92117-6892
(619) 582-5105
(619) 582-5121
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G42131
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G42131
STATE LICENSE
CA
Enumeration date
07/21/2006
Last updated
03/07/2023
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