Provider Demographics
NPI:1194919803
Name:SIDHU, HINA (MD)
Entity type:Individual
Prefix:DR
First Name:HINA
Middle Name:
Last Name:SIDHU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:HINA
Other - Middle Name:
Other - Last Name:BHANGU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2062 PASEO LUCINDA
Mailing Address - Street 2:
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-4454
Mailing Address - Country:US
Mailing Address - Phone:626-272-4013
Mailing Address - Fax:
Practice Address - Street 1:1400 N HARBOR BLVD STE 540
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-4142
Practice Address - Country:US
Practice Address - Phone:714-871-9357
Practice Address - Fax:714-871-9362
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA960542084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry