Individual
BALJINDER SINGH SIDHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 E CHURCH ST, SANTA MARIA, CA 93454-5906
(559) 260-2600
(970) 667-0847
Mailing address
PO BOX 7446, LOVELAND, CO 80537-0446
(970) 663-2742
(970) 667-0847
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A105992
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A105992
CA
207RP1001X
Pulmonary Disease Physician
A105992
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902846306
GROUP NPI
CA
01
—
GR0100430
GROUP MEDI-CAL
CA
01
—
W18762
GROUP MEDICARE
CA
Enumeration date
02/23/2009
Last updated
09/09/2021
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