Individual
DR. ALISA M L HIDEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6860 AVENIDA ENCINAS, CARLSBAD, CA 92011-3201
(760) 931-6454
Mailing address
6860 AVENIDA ENCINAS, CARLSBAD, CA 92011-3201
(760) 931-6454
(760) 931-4244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-141123
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8227654
—
WA
Enumeration date
02/21/2007
Last updated
12/01/2021
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