Healthcare Provider Details

I. General information

NPI: 1912681933
Provider Name (Legal Business Name): DALIA SEHA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2023
Last Update Date: 06/12/2023
Certification Date: 06/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5161 E PATTERSON ST
LONG BEACH CA
90815-1220
US

IV. Provider business mailing address

5161 E PATTERSON ST
LONG BEACH CA
90815-1220
US

V. Phone/Fax

Practice location:
  • Phone: 562-583-4600
  • Fax:
Mailing address:
  • Phone: 562-583-4600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH66480
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: