Healthcare Provider Details

I. General information

NPI: 1689586893
Provider Name (Legal Business Name): VIP HEALTH EXPRESS PHYSICIAN ASSISTANT INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2929 WESTMINSTER AVE UNIT 4027
SEAL BEACH CA
90740-9183
US

IV. Provider business mailing address

2929 WESTMINSTER AVE UNIT 4027
SEAL BEACH CA
90740-9183
US

V. Phone/Fax

Practice location:
  • Phone: 562-755-3520
  • Fax: 562-262-2061
Mailing address:
  • Phone: 562-755-3520
  • Fax: 562-262-2061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: MR. SHAY KENT SEITZ
Title or Position: PRESIDENT
Credential: PA-C
Phone: 562-755-3520