Organization
ALFRED A SIDHOM M D INC
Active
Other names
Advanced Urology Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED A SIDHOM MD (DOCTOR)
(714) 776-7090
Entity
Organization
Contact information
Practice address
1211 W LA PALMA AVE, 502, ANAHEIM, CA 92801-2815
(714) 776-7090
(714) 776-5632
Mailing address
1211 W LA PALMA AVE, 502, ANAHEIM, CA 92801-2815
(714) 776-7090
(714) 776-5632
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A35526
CA
Other
Enumeration date
03/30/2007
Last updated
02/15/2022
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