Healthcare Provider Details

I. General information

NPI: 1538292685
Provider Name (Legal Business Name): SEARS PEDIATRICS AND FAMILY MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26933 CAMINO DE ESTRELLA SUITE #A
CAPISTRANO BEACH CA
92624-1602
US

IV. Provider business mailing address

26933 CAMINO DE ESTRELLA SUITE #A
CAPISTRANO BEACH CA
92624-1602
US

V. Phone/Fax

Practice location:
  • Phone: 949-493-5437
  • Fax: 949-493-0535
Mailing address:
  • Phone: 949-493-5437
  • Fax: 949-493-0535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0000X
TaxonomyAdolescent Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT WILLIAM SEARS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 949-493-5437