SULTANALI ALIDINA (NPI# 1063411684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063411684 |
| Entity Type | Individual |
| Full Name | SULTANALI ALIDINA |
| Credential | M.D. |
| Practice Address |
3300 E South St Suite 209 Lakewood CA 90805-4549 |
| Practice Telephone | 5626303434 |
| Practice Fax Number | 5626305240 |
| Mailing Telephone | 5626303434 |
| Mailing Fax Number | 5626305240 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2012-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
A47735 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A477350 | 05 |
| Street Address |
3300 E SOUTH ST SUITE 209 |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90805-4549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396271763 | Priority Medical Care, Inc. | Internal Medicine | 3300 E South St, Suit 201, Lakewood, CA 90805-4549 | 2017-05-04 |
| 1568813723 | Kevin Kwok | Optometrist | 3300 E South St, Suite 105, Lakewood, CA 90805-4549 | 2016-06-28 |
| 1386048429 | Caremore Health Plan | Clinic/Center | 3300 E South St, #102, Lakewood, CA 90805-4549 | 2014-10-17 |
| 1730427436 | Mvm Medical Corporation | Internal Medicine | 3300 E South St, Ste 305, Lakewood, CA 90805-4549 | 2013-01-30 |
| 1154693307 | Rohun Medical Corporation | Specialist | 3300 E South St, Suite 206, Lakewood, CA 90805-4549 | 2012-02-03 |
| 1306115332 | Theresa Adele Smith | Nurse Practitioner | 3300 E South St, Suite #: 102, Lakewood, CA 90805-4549 | 2011-12-20 |
| 1114218559 | Jesse J Licuanan Md A Medical Corporation | Internal Medicine | 3300 E South St, Suite 205, Lakewood, CA 90805-4549 | 2011-04-19 |
| 1689978140 | Amy Elizabeth Pound | Social Worker | 3300 E South St, Lakewood, CA 90805-4549 | 2010-12-27 |
| 1407165079 | Ronald Castillo Tejada Jr. | Internal Medicine | 3300 E South St, Suite 205, Lakewood, CA 90805-4549 | 2010-09-30 |
| 1164682738 | Theodore August Pasquali | Specialist | 3300 E South St, Suite 105, Lakewood, CA 90805-4549 | 2008-06-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154928 | Makando Mutanda | Counselor | 161 West Victoria St., Long Beach, CA 90805 | 2019-10-02 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1609345925 | Belmont Rx LLC | Pharmacy | 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 | 2018-11-15 |
| 1508359605 | Mykayla Rowley | Case Manager/Care Coordinator | 5190 Atlatic Ave, Long Beach, CA 90805 | 2018-06-13 |
| 1942728589 | Marissa Liana Cabral | Social Worker | 5190 Atantic Ave, Long Beach, CA 90805 | 2017-09-04 |
| 1245757673 | Karina Vasquez | Licensed Vocational Nurse | 1325 E Poppy St, Long Beach, CA 90805 | 2017-08-25 |
| 1376060277 | Rebekkah Dawn Williams | Counselor | 100 East Market Street, Long Beach, CA 90805 | 2017-08-23 |
| 1871038919 | Andrea Dabbs | Pharmacist | 3700 E. South St., Lakewood, CA 90805 | 2016-12-28 |
| 1164972360 | Young Men's Christian Association of Greater Long Beach | Health Educator | 4949 Atlantic Ave, Long Beach, CA 90805 | 2016-10-12 |
| 1043662158 | Kristina Eunjeong Chang | Podiatrist | 3700 E South Street, Lakewood, CA 90805 | 2016-07-13 |
| Find all providers in zip 90805 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992976237 | Sarah J Easaw Md LLC | Internal Medicine | 1255 Route 70 Ste 31s, Lakewood, NJ 08701-5973 | 2008-03-14 |
| 1790818425 | Western Hematology Oncology Associates, P.C. | Internal Medicine | 34 Van Gordon St, Suite 160, Lakewood, CO 80228-1705 | 2007-03-13 |
| 1073667010 | Vincent J. O'brien Jr. Md, Inc | Internal Medicine | 14601 Detroit Ave Ste 450, Lakewood, OH 44107-4251 | 2007-01-23 |
| 1811904188 | David Morrison | Internal Medicine | 3300 E South St Ste 304, Lakewood, CA 90805-4594 | 2006-08-01 |
| 1265461768 | Alfred H Chan | Internal Medicine | 6323 111th St Sw, Lakewood, WA 98499-1303 | 2006-06-30 |
| 1407812043 | Nauman Moazzam | Internal Medicine | 11750 W. 2nd Place Suite 100, Lakewood, CO 80228-1705 | 2006-04-22 |
| 1013991736 | Stephen J Frank | Internal Medicine | 34 Van Gordan St, Ste 160, Lakewood, CO 80228 | 2005-12-06 |
| 1972587533 | Alvin L Otsuka | Internal Medicine | 11750 W. 2nd Place Suite100, Lakewood, CO 80228-1705 | 2005-12-06 |
| 1831506898 | Junaid Arshad | Internal Medicine | 3300 E South St Ste 304, Lakewood, CA 90805-4594 | 2014-07-22 |
| 1881872687 | Eric M. Cheung | Internal Medicine | 3300 E South St, Suite 305, Lakewood, CA 90805-4549 | 2008-02-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.