| Jasmin Sidhu, MD Inc | |
|
2801 Atlantic Ave Long Beach CA 90806-1701 | |
| (310) 753-6001 | |
| (866) 929-6049 |
| Full Name | Jasmin Sidhu, MD Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2801 Atlantic Ave, Long Beach, California |
| Authorized Official Name and Position | Jasmin Sidhu (HOSPITALIST) |
| Authorized Official Contact | 3107536001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jasmin Sidhu, MD Inc 2801 Atlantic Ave Long Beach CA 90806-1701 | Jasmin Sidhu, MD Inc 2801 Atlantic Ave Long Beach CA 90806-1701 Ph: (310) 753-6001 |
| NPI Number | 1689284309 |
|---|---|
| Provider Enumeration Date | 08/06/2020 |
| Last Update Date | 08/06/2020 |
| Certification Date | 08/06/2020 |
| Medicare PECOS PAC ID | 5799193843 |
|---|---|
| Medicare Enrollment ID | O20210409001602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689284309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| 208M00000X | Hospitalist | (NU) | Secondary |
| Provider Name | Jasmin Sidhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023449881 PECOS PAC ID: 6608190442 Enrollment ID: I20150127000010 |
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