Healthcare Provider Details

I. General information

NPI: 1528649563
Provider Name (Legal Business Name): CHRISTOPHER M SEFFREN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2021
Last Update Date: 07/25/2023
Certification Date: 07/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2335 STOCKTON BOULEVARD NORTH ADDITION 5TH FLOOR
SACRAMENTO CA
95817
US

IV. Provider business mailing address

2335 STOCKTON BOULEVARD NORTH ADDITION 5TH FLOOR
SACRAMENTO CA
95817
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-2816
  • Fax:
Mailing address:
  • Phone: 916-734-2816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA181498
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: