Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | C42486 | CA |
NPI | 1003801390 |
---|---|
Provider Name | Kazem Seyed |
First Address | Hemet, CA 92543-4370 |
Second Address | Hemet, CA 92543-4370 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00C424861 | (05) | CA |
E31663 | (02) |