Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SIDA FANG
ActiveSIDA FANG is a Addiction (Substance Use Disorder) Psychologist healthcare provider located in REDWOOD CITY, California. NPI 1255210985 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Psychologist · REDWOOD CITY, CA
Registration Details
- NPI Number
- 1255210985
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 27, 2025 (0.96364098064013 yrs)
- Last Updated
- Aug 27, 2025
Practice Information
- Address
-
1779 WOODSIDE RD STE 200REDWOOD CITY, CA, 940613438Browse CA providers · Browse ZIP 94061
- Phone
- 6504240854
- Primary Specialty
-
Addiction (Substance Use Disorder) Psychologist
103TA0400X
Other Addiction (Substance Use Disorder) Psychologist Providers in REDWOOD CITY, CA
| Name | Credential | NPI |
|---|---|---|
| DR. ALEXANDER YURYEVICH AVANESOV | PH.D. | 1902956881 |
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.