Healthcare Provider Details

I. General information

NPI: 1710752464
Provider Name (Legal Business Name): HEALTH SEED LA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2023
Last Update Date: 11/21/2023
Certification Date: 11/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2637 E WASHINGTON BLVD
PASADENA CA
91107-1412
US

IV. Provider business mailing address

832 W 29TH ST APT B
SAN PEDRO CA
90731-6236
US

V. Phone/Fax

Practice location:
  • Phone: 626-798-8991
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: HASAN SEEDE
Title or Position: OWNER
Credential: MD
Phone: 626-616-0420