Search › California › 146N00000X
Sioud Idris
NPI 1073208799 · on the registry since 2023 · sole proprietor
Practice
- Address
- 23792 Landisview Ave
Lake Forest, CA 92630 - Phone
- (949) 899-7959
Registry record
- Primary taxonomy
- 146N00000X
146N00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California