Sam, Sidary

Sam, Sidary is an individual health care provider with primary practice located at 4510 E Pacific Coast Hwy Ste 600 , Long Beach CA 90804-6914. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Sam, Sidary can be contacted via phone (562) 346-1100.

Contact Information

Primary practice address
4510 E Pacific Coast Hwy Ste 600 Long Beach CA 90804-6914
Phone: (562) 346-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ASW 22278 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW94013 California

Profile Details

NPI number 1962557900
LBN Legal business name Sam, Sidary
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Mar 8th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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