Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 18635 | CA |
NPI | 1366408908 |
---|---|
Provider Name | Dr. Jessica Wendy Seaton |
First Address | Los Angeles, CA 90025-4715 |
Second Address | Los Angeles, CA 90025-4768 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U28446 | (02) | CA |