Healthcare Provider Details

I. General information

NPI: 1861449456
Provider Name (Legal Business Name): SEEMA MUNIR DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27051 TOWNE CENTRE DR STE 280
LAKE FOREST CA
92610-2819
US

IV. Provider business mailing address

15642 SAND CANYON AVE UNIT 51477
IRVINE CA
92619-5254
US

V. Phone/Fax

Practice location:
  • Phone: 949-652-7580
  • Fax: 833-455-6567
Mailing address:
  • Phone: 602-721-0323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A18056
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: