John Bahram Seradj
Gynecologist
477 N El Camino Real Suite A300
Encinitas
, California 92024
John Bahram Seradj
Gynecologist
477 N El Camino Real Suite A300
Encinitas
, California 92024
(760) 942-8187
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- John Bahram Seradj
- 477 N El Camino Real Suite A308
- Encinitas, CA
- Zip : 92024-1328
- Fax : (760) 942-8187
- Phone : (760) 942-6120
Second Address
- John Bahram Seradj
- 477 N El Camino Real Suite A300
- Encinitas, CA
- Zip : 92024
- Fax : (760) 942-8187
- Phone : (760) 942-6120
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | A32900 | CA |
National Provider Identifier
| NPI | 1023180650 |
|---|---|
| Provider Name | John Bahram Seradj |
| First Address | Encinitas, CA 92024-1328 |
| Second Address | Encinitas, CA 92024 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2006 |
| Last Update Date | 29/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A84405 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.