| Susan E Seideman Md Pc | |
|
23601 Avalon Blvd Suite 105 Carson CA 90745-5582 | |
| (310) 595-4367 | |
| (310) 549-5022 |
| Full Name | Susan E Seideman Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 23601 Avalon Blvd, Carson, California |
| Authorized Official Name and Position | Lobna Anaim (ADMINISTRATOR) |
| Authorized Official Contact | 7146832970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan E Seideman Md Pc 23601 Avalon Blvd Suite 105 Carson CA 90745-5582 Ph: (310) 595-4367 | Susan E Seideman Md Pc 23601 Avalon Blvd Suite 105 Carson CA 90745-5582 Ph: (310) 595-4367 |
| NPI Number | 1801138631 |
|---|---|
| Provider Enumeration Date | 03/19/2013 |
| Last Update Date | 03/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801138631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G33438 (California) | Primary |
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