Nadine Elaine Sidrick in San Diego - General Practice
Nadine Elaine Sidrick - NPI 1134140718
Nadine Elaine Sidrick is a General Practice in San Diego, California. Nadine Elaine Sidrick practices all healthcare services and medical treatments related to General Practice. The NPI Number for Nadine Elaine Sidrick is 1134140718. The last update date is 2023-03-07.
Nadine Elaine Sidrick's current location address is 3089 Clairemont Dr Ste C Pmb 510, San Diego, California. You can contact this provider via phone number 6195825105 and fax number 6195825121. The mailing address for Nadine Elaine Sidrick is 3089 Clairemont Dr Ste C Pmb 510, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nadine Elaine Sidrick |
|---|---|
| Address | 3089 Clairemont Dr Ste C Pmb 510, San Diego, California |
| Phone Number | 6195825105 |
| Fax Number | 6195825121 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1134140718 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 3089 Clairemont Dr Ste C Pmb 510 |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921176892 |
| Phone Number | 6195825105 |
| Fax Number | 6195825121 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | G42131 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G42131 | CA | STATE LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Nadine Elaine Sidrick by the Centers for Medicare & Medicaid Services (CMS)?
The Nadine Elaine Sidrick has been assigned the NPI (National Provider Identifier) 1134140718. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Nadine Elaine Sidrick?
The Nadine Elaine Sidrick is physically situated at 3089 Clairemont Dr Ste C Pmb 510, in the city of San Diego, state of CA, with the postal code 921176892.
What is Nadine Elaine Sidrick's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Nadine Elaine Sidrick's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 208D00000X.
On what date did the Nadine Elaine Sidrick receive the assignment of its 1134140718 from the Centers for Medicare & Medicaid Services?
The Nadine Elaine Sidrick was issued its 1134140718 by the Centers for Medicare & Medicaid Services on 2006-07-21.
When was the information pertaining to Nadine Elaine Sidrick most recently updated or revised?
The details related to Nadine Elaine Sidrick, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.