Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SIOUD IDRIS
Active Sole ProprietorSIOUD IDRIS is a Emergency Medical Technician, Basic healthcare provider located in LAKE FOREST, California. NPI 1073208799 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Technician, Basic · LAKE FOREST, CA
Registration Details
- NPI Number
- 1073208799
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 7, 2023 (3.3814194867216 yrs)
- Last Updated
- Apr 20, 2023
- License
-
E3301391 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
23792 LANDISVIEW AVELAKE FOREST, CA, 926305126Browse CA providers · Browse ZIP 92630
- Phone
- 9498997959
- Primary Specialty
-
Emergency Medical Technician, Basic
146N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.