Individual
MRS. ASTRID SIDARTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2601 W ALAMEDA AVE, SUITE 101, BURBANK, CA 91505-4800
(818) 295-6944
(818) 295-6953
Mailing address
2601 W ALAMEDA AVE, SUITE 101, BURBANK, CA 91505-4800
(818) 295-6944
(818) 295-6953
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16137
CA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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