Dr Alfred A Sidhom, MD | |
1211 W La Palma Ave Ste 502, Anaheim, CA 92801-2812 | |
(714) 776-7090 | |
(714) 776-5632 |
Full Name | Dr Alfred A Sidhom |
---|---|
Gender | Male |
Speciality | Urology |
Location | 1211 W La Palma Ave Ste 502, Anaheim, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114923265 | NPI | - | NPPES |
00A355260M92 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | A35526 (California) | Primary |
Entity Name | Alfred A Sidhom M D Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154441343 PECOS PAC ID: 9335053420 Enrollment ID: O20031113000398 |
Entity Name | Uci Department Of Urology |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255398533 PECOS PAC ID: 6901799238 Enrollment ID: O20040202001148 |
Mailing Address | Practice Location Address |
---|---|
Dr Alfred A Sidhom, MD 1211 W La Palma Ave, Ste 502, Anaheim, CA 92801-2812 Ph: (714) 776-7090 | Dr Alfred A Sidhom, MD 1211 W La Palma Ave Ste 502, Anaheim, CA 92801-2812 Ph: (714) 776-7090 |
Khoa Binh Tran, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Dr. Manilal B Mehta, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1211 W La Palma Ave, Ste 502, Anaheim, CA 92801 Phone: 714-776-7090 Fax: 714-776-5632 | |
Yenning Chuang, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Frank W. Newman, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Mr. Richard E Wineland, Urology Medicare: Accepting Medicare Assignments Practice Location: 1211 W La Palma Ave, 307, Anaheim, CA 92801 Phone: 714-776-6456 Fax: 714-776-6924 | |
Dr. George Abdelsayed, Urology Medicare: Accepting Medicare Assignments Practice Location: 3430 E La Palma Ave, Medical Office Building 2, Anaheim, CA 92806 Phone: 310-920-3544 |