=====================================================
General NPI Number Information
=====================================================
NPI Number | 1720380637
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALAN A SEMION M D INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/29/2010
-----------------------------------------------------
Last Update Date | 11/29/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 729 SUNRISE AVENUE SUITE 700
-----------------------------------------------------
City | ROSEVILLE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95661-4565
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 916-782-7546
-----------------------------------------------------
Fax | 916-782-1596
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 729 SUNRISE AVENUE SUITE 700
-----------------------------------------------------
City | ROSEVILLE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95661-4565
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 916-782-7546
-----------------------------------------------------
Fax | 916-782-1596
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/OPERATOR
-----------------------------------------------------
Name | DR. ALAN ALEXANDER SEMION
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 916-782-7546
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | C315380
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------