Healthcare Provider Details

I. General information

NPI: 1467770826
Provider Name (Legal Business Name): SETH CAMHI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2010
Last Update Date: 12/04/2020
Certification Date: 12/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8929 UNIVERSITY CENTER LN STE 201
SAN DIEGO CA
92122-1008
US

IV. Provider business mailing address

8929 UNIVERSITY CENTER LN STE 201
SAN DIEGO CA
92122-1008
US

V. Phone/Fax

Practice location:
  • Phone: 858-357-9477
  • Fax: 858-625-2020
Mailing address:
  • Phone: 858-357-9477
  • Fax: 858-625-2020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA121153
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: