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

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
Mailing address23792 Landisview Ave, Lake Forest, CA 92630-5126