Provider Demographics
NPI:1053754473
Name:SEIN, SAW (MD)
Entity type:Individual
Prefix:
First Name:SAW
Middle Name:
Last Name:SEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 HOSPITAL DR STE 304
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94589-2583
Mailing Address - Country:US
Mailing Address - Phone:707-643-6483
Mailing Address - Fax:707-643-3018
Practice Address - Street 1:100 HOSPITAL DR STE 304
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94589-2583
Practice Address - Country:US
Practice Address - Phone:707-643-6483
Practice Address - Fax:707-643-3018
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA145389207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty