Doctor Name: | AMIR M SEIFI |
NPI Number: | 1548263015 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.A. |
License Number: | PA17606 |
Business Practice Address: | 24331 El Toro Rd Ste 200 Laguna Woods, CA - 926372753 |
Business Phone Number: | 9495863200 |
Business Fax Number: | 9499002136 |
Mailing Address: | Po Box 31063, LAGUNA HILLS |
State: | CA |
Postal Code: | 926541063 |
Phone Number: | 9495863200 |
Fax Number: | 9499002136 |
NPI Enumeration Date: | 05/27/2005 |
NPI Last Update Date: | 11/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA17606 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |