Healthcare Provider Details

I. General information

NPI: 1629277561
Provider Name (Legal Business Name): CATHERINE ANNE SEELEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2007
Last Update Date: 03/07/2023
Certification Date: 01/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 VAN NESS AVE FL 5
SAN FRANCISCO CA
94109-6978
US

IV. Provider business mailing address

325 DISTEL CIR
LOS ALTOS CA
94022-1408
US

V. Phone/Fax

Practice location:
  • Phone: 415-600-3190
  • Fax: 415-369-1391
Mailing address:
  • Phone: 415-600-3190
  • Fax: 415-369-1391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberA97947
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: