Search › California › 1041C0700X
Sidary Sam, MSW
NPI 1962557900 · on the registry since 2007
Practice
- Address
- 4510 E Pacific Coast Hwy Ste 600
Long Beach, CA 90804 - Phone
- (562) 346-1100
- Organisation at this address
- Olive Crest
Oc Teen Center Llc
Dawn M Terashita, Pc
Vega Healthcare, Inc.
Everyday Friday Home Care LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 77
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
390200000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-08
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