Healthcare Provider Details
I. General information
NPI: 1932417086
Provider Name (Legal Business Name): MEDHAT SEIF MD, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/22/2010
Last Update Date: 09/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11525 BROOKSHIRE AVE STE 105
DOWNEY CA
90241-4982
US
IV. Provider business mailing address
11525 BROOKSHIRE AVE STE 105
DOWNEY CA
90241-4982
US
V. Phone/Fax
- Phone: 562-904-6031
- Fax: 562-904-6033
- Phone: 562-904-6031
- Fax: 562-904-6033
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | A3393 |
| License Number State | |
VIII. Authorized Official
Name:
MEDHAT
SEIF
Title or Position: PRESIDENT
Credential: MD
Phone: 560-904-6031