IndividualActive
Adam Siddiqui, R.EPT, CNIM
NPI 1285933416 · Electroneurodiagnostic Specialist/Technologist · Simi Valley, CA
Provider details
- NPI number
- 1285933416
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- R.EPT, CNIM
- Sex
- Male
- Sole proprietor
- Yes
- License
- REPT1104
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
Eye and Vision Services Providers
Practice location
2655 1st St Ste 250
Simi Valley, CA 93065-1574
Phone: (214) 972-8151
Fax: (877) 705-3046
Approximate (ZIP-level) locationGet directions
Mailing address
2781 Ithaca Place
Lewisville, TX 75067
Registry dates
- Enumerated
- 2011-03-28
- Last updated
- 2024-10-08
- Certified
- 2024-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.