Provider Demographics
NPI:1053595694
Name:FIELD, SETH JOEL (MD,PHD)
Entity type:Individual
Prefix:DR
First Name:SETH
Middle Name:JOEL
Last Name:FIELD
Suffix:
Gender:M
Credentials:MD,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 GILMAN DR # MC-0707
Mailing Address - Street 2:UCSD, GPL-338
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92093-5004
Mailing Address - Country:US
Mailing Address - Phone:858-822-1731
Mailing Address - Fax:858-822-0856
Practice Address - Street 1:9500 GILMAN DR # MC-0707
Practice Address - Street 2:UCSD, GPL-338
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92093-5004
Practice Address - Country:US
Practice Address - Phone:858-822-1731
Practice Address - Fax:858-822-0856
Is Sole Proprietor?:No
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG87427207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAH32855Medicare UPIN