Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | A133486 | CA |
Y | 207R00000X | Internist | A133486 | CA |
Y | 111NI0900X | Internist | A133486 | CA |
NPI | 1336373877 |
---|---|
Provider Name | Dr. David Jung Seto |
First Address | Los Angeles, CA 90012-3328 |
Second Address | Los Angeles, CA 90012-3328 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2009 |
Last Update Date | 17/03/2018 |