Sidarta, Astrid
Sidarta, Astrid is an individual health care provider with primary practice located at 2601 W Alameda Ave Suite 101, Burbank CA 91505-4800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Sidarta, Astrid can be contacted via phone (818) 295-6944.Contact Information
Primary practice address
2601 W Alameda Ave Suite 101
Burbank CA 91505-4800
Phone: (818) 295-6944
Fax: (818) 295-6953
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA16137 | California |
Profile Details
| NPI number | 1902924814 |
|---|---|
| LBN Legal business name | Sidarta, Astrid |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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