Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 232919 | NY |
Y | 2081P2900X | Pain Medicine | A106704 | CA |
NPI | 1144363011 |
---|---|
Provider Name | Dr. Sean Ataee |
First Address | Newport Beach, CA 92663-4026 |
Second Address | Santa Ana, CA 92701-2332 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2007 |
Last Update Date | 01/06/2015 |