| Sara Lynn Sidor, | |
| 1500 Duarte Rd, Duarte, CA 91010-3012 | |
| (626) 256-4673 | |
| Not Available | 
| Full Name | Sara Lynn Sidor | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1500 Duarte Rd, Duarte, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1962068304 | NPI | - | NPPES | 
| 95011171 | Other | CA | BOARD OF REGISTERED NURSING | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95011171 (California) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 95011171 (California) | Primary | 
| Entity Name | City Of Hope Medical Foundation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1871886366 PECOS PAC ID: 3779751656 Enrollment ID: O20110720000244 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sara Lynn Sidor, Po Box 512185, Los Angeles, CA 90051-0185 Ph: () - | Sara Lynn Sidor, 1500 Duarte Rd, Duarte, CA 91010-3012 Ph: (626) 256-4673 | 
| Miss Janice Mae Villegas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2236 Park Rose Ave, Duarte, CA 91010 Phone: 626-475-4663 | |
| Mrs. Erica H Chin, RN, NP, MS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 East Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673 Fax: 626-471-7155 | |
| Maria Elena Dela Rosa, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673 | |
| Mr. Shawn Robert Hurley, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 800-826-4673 | |
| Tim Nguyen, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673 | |
| Miss Gabriela Claudia Medrano, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673 | |
| Ashley A. Dorn, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 800-826-4673 |