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Individual

DR. JAMAL U SIDDIQUI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2675 E SLAUSON AVE, HUNTINGTON PARK, CA 90255-2926
(323) 589-6681
Mailing address
9 COVINGTON, MISSION VIEJO, CA 92692-5166
(949) 830-2690

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
A95460
CA

Other

Enumeration date
11/07/2006
Last updated
01/19/2010
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