Provider Demographics
NPI:1598743932
Name:SIMA, ION (MD)
Entity Type:Individual
Prefix:
First Name:ION
Middle Name:
Last Name:SIMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1307
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90707-1307
Mailing Address - Country:US
Mailing Address - Phone:714-776-8273
Mailing Address - Fax:714-776-8974
Practice Address - Street 1:1781 W ROMNEYA DR
Practice Address - Street 2:STE B
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-1818
Practice Address - Country:US
Practice Address - Phone:714-776-8273
Practice Address - Fax:714-776-8974
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA54836207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G19331Medicare UPIN
CAA54836AMedicare PIN
A54836Medicare ID - Type Unspecified