Individual
DR. SIDNEY MARK FISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 OCEAN VISTA, NEWPORT BEACH, CA 92660
(949) 705-8992
(562) 596-5703
Mailing address
40 OCEAN VISTA, NEWPORT BEACH, CA 92660
(949) 705-8992
(562) 596-5703
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
AF7229455
CA
207YX0602X
Otolaryngic Allergy Physician
Primary
AF7229455
CA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
AF7229455
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G305900
—
CA
Enumeration date
06/28/2005
Last updated
12/04/2024
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