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General NPI Number Information
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NPI Number | 1477620227
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Entity Type | Individual
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Provider Name | SHAY SEITZ PA-C
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Gender | Male
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 2929 WESTMINSTER AVE UNIT 4027
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City | SEAL BEACH
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State | CA
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Zip | 90740-9183
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Country | US
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Telephone | 714-642-6561
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Fax | 714-642-6561
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Provider Business Mailing Address
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Address Line | PO BOX 4027
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City | SEAL BEACH
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State | CA
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Zip | 90740-8027
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Country | US
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Telephone | 100-000-0000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA16043
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA16043
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License Number State | CA
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