Denise G Aldahl, MD

Individual provider Active NPI Obstetrics & Gynecology Physician · Sierra Madre, CA

NPI 1174746804 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1174746804
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
G73120 (CA)
Practice address
147 W Sierra Madre Blvd
Sierra Madre, CA 91024-2492
Phone
(626) 355-3443
Fax
(626) 355-7843
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Saba Haq Above Medical PC Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G73120 CA Yes

Addresses

Primary practice location

147 W Sierra Madre Blvd
Sierra Madre, CA 91024-2492

Mailing address

147 W Sierra Madre Blvd
Sierra Madre, CA 91024-2492
Phone (626) 355-3443

Other identifiers

IdentifierTypeStateIssuer
ZZZ60648ZOtherCABLUE SHIELD

Other providers in Sierra Madre, CA

All providers in Sierra Madre, CA · Obstetrics & Gynecology Physician in California

Sources for this page

Verify at the official NPI Registry.