Individual
RUBY SIDDIQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9201 W SUNSET BLVD, SUITE 718, WEST HOLLYWOOD, CA 90069-3701
(310) 820-0557
(310) 826-1163
Mailing address
PO BOX 49658, LOS ANGELES, CA 90049-0658
(310) 820-0557
(310) 826-1163
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
50414
CA
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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