Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A147395 | CA |
N | 111NI0900X | Internist | A147395 | CA |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A147395 | CA |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD60353269 | WA |
NPI | 1073763983 |
---|---|
Provider Name | Dr. Stuart C Seigel |
First Address | Irvine, CA 92618-2302 |
Second Address | Laguna Niguel, CA 92677-5979 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2008 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0313174 | DEPT OF L&I (01) | WA |
2027608 | (05) | WA |