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NPI Code Detail

MEDICARE: RODERICK NEGAL SEAMSTER M.D.

MEDICARE: RODERICK NEGAL SEAMSTER 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
1207R00000XInternal Medicine PhysicianG64516CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407951551
Entity Type Code : Individual
Provider Name (Legal Business Name) : RODERICK NEGAL SEAMSTER M.D.
Provider Business Mailing Address
First Line : 5450 BLUE RIDGE DR
Second Line :
City : YORBA LINDA
State : CA
Zip : 92887-4215
Country : US
Telephone Number : 323-357-6688
Fax Number : 323-563-6378
Provider Business Practice Location Address
First Line : 10300 COMPTON AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90002-3628
Country : US
Telephone Number : 323-357-6688
Fax Number : 323-563-6378
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 07/09/2007

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