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NPI Code Detail

MEDICARE: SEABREEZE MEDICAL INC

MEDICARE: SEABREEZE MEDICAL INC
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
1207Q00000XFamily Medicine PhysicianC27652CA

General Provider Information

NPI Number : 1871828285
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEABREEZE MEDICAL INC
Provider Business Mailing Address
First Line : 8132 FIRESTONE BLVD
Second Line : STE 930
City : DOWNEY
State : CA
Zip : 90241-4231
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8132 FIRESTONE BLVD
Second Line : STE 930
City : DOWNEY
State : CA
Zip : 90241-4231
Country : US
Telephone Number : 562-382-5718
Fax Number :
Authorized Official
Title or Position : CEO
Name : RICHARD O BUTCHER
Credential :
Telephone Number : 562-382-5718
Provider Enumeration Date : 10/03/2009
Last Update Date : 10/03/2009

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Directions to “SEABREEZE MEDICAL INC ” Practice Location

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