Healthcare Provider Details

I. General information

NPI: 1053754473
Provider Name (Legal Business Name): SAW SEIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2013
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HOSPITAL DR STE 304
VALLEJO CA
94589-2583
US

IV. Provider business mailing address

100 HOSPITAL DR STE 304
VALLEJO CA
94589-2583
US

V. Phone/Fax

Practice location:
  • Phone: 707-643-6483
  • Fax: 707-643-3018
Mailing address:
  • Phone: 707-643-6483
  • Fax: 707-643-3018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA145389
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: