MEDICARE: ION SIMA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A54836	CA

General Provider Information

NPI Number	:	1598743932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ION SIMA MD

Provider Business Mailing Address
First Line	:	PO BOX 1307
Second Line	:
City	:	BELLFLOWER
State	:	CA
Zip	:	90707-1307
Country	:	US
Telephone Number	:	714-776-8273
Fax Number	:	714-776-8974

Provider Business Practice Location Address
First Line	:	1781 W ROMNEYA DR
Second Line	:	STE B
City	:	ANAHEIM
State	:	CA
Zip	:	92801-1818
Country	:	US
Telephone Number	:	714-776-8273
Fax Number	:	714-776-8974

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	06/05/2008

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