Healthcare Provider Details

I. General information

NPI: 1386653178
Provider Name (Legal Business Name): SEAN ARTHUR BARLOW M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: SEAN ARTHUR BARLOW M.D.

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 04/15/2021
Certification Date: 04/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41990 COOK ST BUILDING F SUITE 2008
PALM DESERT CA
92211-6100
US

IV. Provider business mailing address

41990 COOK ST # F2008
PALM DESERT CA
92211-6100
US

V. Phone/Fax

Practice location:
  • Phone: 760-674-9777
  • Fax: 760-674-0355
Mailing address:
  • Phone: 760-674-9777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number59722
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberG78296
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: