Individual
MR. THEODORE WALTER SIOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1422 6TH ST APT 305, SANTA MONICA, CA 90401-2545
(310) 913-8929
Mailing address
1422 6TH ST APT 305, SANTA MONICA, CA 90401-2545
(310) 913-8929
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-CJMEFU
CA
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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