Organization
FOOTHILL DERMATOLOGY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMARPAUL S SIDHU M.D., (OWNER)
(626) 852-3376
Entity
Organization
Contact information
Practice address
2301 E FOOTHILL BLVD, STE 100, GLENDORA, CA 91740-4000
(626) 852-3376
(626) 852-3375
Mailing address
2301 E FOOTHILL BLVD, STE 100, GLENDORA, CA 91740-4000
(626) 852-3376
(626) 852-3375
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A73248
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A73218
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A732480
—
CA
Enumeration date
03/14/2008
Last updated
06/16/2018
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