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NPI Code Detail

MEDICARE: DR. ROGER DAVID SEHEULT M.D.

MEDICARE: DR. ROGER DAVID SEHEULT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0200XCritical Care Medicine (Internal Medicine) PhysicianA76820CA
2207RS0012XSleep Medicine (Internal Medicine) PhysicianA76820CA
3207RP1001XPulmonary Disease PhysicianA76820CA

General Provider Information

NPI Number : 1134217235
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROGER DAVID SEHEULT M.D.
Provider Business Mailing Address
First Line : 33730 YUCAIPA BLVD # 1038
Second Line :
City : YUCAIPA
State : CA
Zip : 92399-2243
Country : US
Telephone Number : 909-855-6478
Fax Number :
Provider Business Practice Location Address
First Line : 12047 4TH ST
Second Line :
City : YUCAIPA
State : CA
Zip : 92399-2735
Country : US
Telephone Number : 909-883-2394
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 12/10/2025

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