Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | 13778 | NV |
N | 207PP0204X | Pediatric Emergency Physician | A62960 | CA |
Y | 208000000X | Pediatrician | 13778 | NV |
N | 208000000X | Pediatrician | A62960 | CA |
N | 2080N0001X | Neonatal-Perinatal Doctor | 13778 | NV |
N | 2080N0001X | Neonatal-Perinatal Doctor | A62960 | CA |
N | 2080P0204X | Pediatric Emergency Doctor | 13778 | NV |
N | 2080P0204X | Pediatric Emergency Doctor | A62960 | CA |
NPI | 1619175445 |
---|---|
Provider Name | Dr. Diva S Seddick |
First Address | Danville, CA 94506-6064 |
Second Address | Danville, CA 94506-6064 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2007 |
Last Update Date | 26/09/2013 |