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Individual

GUY HIDAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
505 S MAIN ST STE 100, ORANGE, CA 92868-4568
(714) 512-3914
Mailing address
PO BOX 51342, LOS ANGELES, CA 90051-5642
(714) 456-7005

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F5641
CA

Other

Enumeration date
01/10/2011
Last updated
01/10/2011
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