Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | A142455 | CA |
NPI | 1992025407 |
---|---|
Provider Name | Grant Seiden |
First Address | Oceanside, CA 92056-4405 |
Second Address | Oceanside, CA 92056-4405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2010 |
Last Update Date | 20/11/2019 |