MEDICARE: SEAN MATTHEW MAIORANO D.O.

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
1	208M00000X	Hospitalist Physician	20A9430	CA

General Provider Information

NPI Number	:	1487693552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN MATTHEW MAIORANO D.O.

Provider Business Mailing Address
First Line	:	1423 MAGNOLIA AVE
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95926-3226
Country	:	US
Telephone Number	:	530-896-7455
Fax Number	:	530-896-1730

Provider Business Practice Location Address
First Line	:	1423 MAGNOLIA AVE
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95926-3226
Country	:	US
Telephone Number	:	530-896-7455
Fax Number	:	530-896-1730

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	07/08/2007

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