Healthcare Provider Details

I. General information

NPI: 1447114822
Provider Name (Legal Business Name): STEPIEN SEHEULT CONSULTING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12047 4TH ST
YUCAIPA CA
92399-2735
US

IV. Provider business mailing address

33730 YUCAIPA BLVD # 1038
YUCAIPA CA
92399-2243
US

V. Phone/Fax

Practice location:
  • Phone: 909-883-2394
  • Fax:
Mailing address:
  • Phone: 909-855-6478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: ROGER DAVID SEHEULT
Title or Position: OWNER
Credential: MD
Phone: 909-855-6478