Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sioud Idris

Individual provider Basic Emergency Medical Technician · NPI 1073208799

Sioud Idris is a Basic Emergency Medical Technician in Lake Forest, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

23792 Landisview Ave
Lake Forest, CA 92630-5126
Phone: (949) 899-7959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Basic Emergency Medical Technician (primary) Taxonomy 146N00000X · Licence E3301391 (CA)

Record details

NPI number1073208799
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 7, 2023
Last updated in NPPESApril 20, 2023
Certification dateApril 20, 2023