| Sean Y.i. Haugh, M.d., Inc. | |
|
1570 The Alameda Suite 228 San Jose CA 95126-2330 | |
| (408) 293-3888 | |
| (408) 293-1029 |
| Full Name | Sean Y.i. Haugh, M.d., Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1570 The Alameda, San Jose, California |
| Authorized Official Name and Position | Sean Young-il Haugh (PRESIDENT) |
| Authorized Official Contact | 4082933888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Y.i. Haugh, M.d., Inc. 1570 The Alameda Suite 228 San Jose CA 95126-2330 Ph: (408) 293-3888 | Sean Y.i. Haugh, M.d., Inc. 1570 The Alameda Suite 228 San Jose CA 95126-2330 Ph: (408) 293-3888 |
| NPI Number | 1245442250 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4183757404 |
|---|---|
| Medicare Enrollment ID | O20100805001100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245442250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | A65107 (California) | Primary |
| Provider Name | Sean Y Haugh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821167206 PECOS PAC ID: 1658423546 Enrollment ID: I20090724000065 |
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