Sidary Sam is a Mental Health in Long Beach, California. Sidary Sam practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Sidary Sam is 1962557900. The last update date is 2021-03-08.
Sidary Sam's current location address is 4510 E Pacific Coast Hwy Ste 600, Long Beach, California. You can contact this provider via phone number 5623461100. The mailing address for Sidary Sam is 4510 E Pacific Coast Hwy Ste 600, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sidary Sam |
|---|---|
| Address | 4510 E Pacific Coast Hwy Ste 600, Long Beach, California |
| Phone Number | 5623461100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1962557900 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2021-03-08 |
Provider Mailing Address Detail
| Address | 4510 E Pacific Coast Hwy Ste 600 |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908046914 |
| Phone Number | 5623461100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | ASW 22278 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identification code assigned to Sidary Sam by the Centers for Medicare & Medicaid Services?
The Sidary Sam has been issued the NPI (National Provider Identifier) 1962557900, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Sidary Sam?
The Sidary Sam is physically situated at 4510 E Pacific Coast Hwy Ste 600, in the city of Long Beach, state of CA, with the postal code 908046914.
What is the Sidary Sam's area of specialization and corresponding taxonomy classification?
The Sidary Sam's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.
When was the Sidary Sam's 1962557900 issued?
The Sidary Sam's 1962557900 was issued on 2007-01-23.
When was the information related to Sidary Sam most recently updated or refreshed?
The details pertaining to the Sidary Sam, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-03-08.
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