MEDICARE: SETON MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	HSP45703	CA

General Provider Information

NPI Number	:	1497961221
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SETON MEDICAL CENTER

Provider Business Mailing Address
First Line	:	1900 SULLIVAN AVE
Second Line	:
City	:	DALY CITY
State	:	CA
Zip	:	94015-2229
Country	:	US
Telephone Number	:	650-991-6488
Fax Number	:	650-991-6683

Provider Business Practice Location Address
First Line	:	1900 SULLIVAN AVE
Second Line	:
City	:	DALY CITY
State	:	CA
Zip	:	94015-2229
Country	:	US
Telephone Number	:	650-991-6488
Fax Number	:	650-991-6683

Authorized Official
Title or Position	:	DIRECTOR OF PHARMACY
Name	:	MRS. MARTHA E YASAVOLIAN
Credential	:	PHARM D
Telephone Number	:	650-991-6488

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	07/02/2010

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Directions to “SETON MEDICAL CENTER ” Practice Location

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