| Ms Preety Sidhu, | |
|
11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | |
| (818) 686-3000 | |
| Not Available |
| Full Name | Ms Preety Sidhu |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 11600 Eldridge Ave, Lake View Terrace, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194262410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ASW 64203 (California) | Primary |
| Entity Name | Northeast Valley Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629079009 PECOS PAC ID: 3173517323 Enrollment ID: O20040412001067 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Preety Sidhu, 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 Ph: (818) 686-3000 | Ms Preety Sidhu, 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 Ph: (818) 686-3000 |
Daisy Barrera, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11600 Eldridge Ave, Lake View Terrace, CA 91342 Phone: 818-686-3000 | |
Andreya Alicia Ventura, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11600 Eldridge Ave, Lake View Terrace, CA 91342 Phone: 818-686-3000 | |
Amy Spahr, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11600 Eldridge Ave, Lake View Terrace, CA 91342 Phone: 818-686-3000 |