Healthcare Provider Details

I. General information

NPI: 1942032271
Provider Name (Legal Business Name): SEEN MEDICAL GROUP OF CA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2024
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8950 VILLA LA JOLLA DR STE C227
LA JOLLA CA
92037-1712
US

IV. Provider business mailing address

15 OAK ST STE 3
NEEDHAM MA
02492-2470
US

V. Phone/Fax

Practice location:
  • Phone: 888-671-5902
  • Fax:
Mailing address:
  • Phone: 339-793-8998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: ANYSTIN BIGLER
Title or Position: MANAGER, PAYER CREDENTIALING
Credential:
Phone: 339-463-6787