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General NPI Number Information
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NPI Number | 1922866706
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Entity Type | Individual
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Provider Name | SYDNEE ALISE ISOM
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Gender | Female
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Dates
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Enumeration Date | 03/07/2024
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 1901 HOLSER WALK STE 305
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City | OXNARD
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State | CA
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Zip | 93036-2633
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Country | US
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Telephone | 805-485-2824
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Fax |
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Provider Business Mailing Address
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Address Line | 557 MOCKINGBIRD LN
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City | FILLMORE
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State | CA
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Zip | 93015-1685
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Country | US
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Telephone | 805-754-0381
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA67122
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License Number State | CA
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