Provider Demographics
NPI:1194040071
Name:SEYEDIN, MAJID (DPM)
Entity type:Individual
Prefix:DR
First Name:MAJID
Middle Name:
Last Name:SEYEDIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17777 VENTURA BLVD
Mailing Address - Street 2:252
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-3736
Mailing Address - Country:US
Mailing Address - Phone:323-912-9220
Mailing Address - Fax:818-221-0534
Practice Address - Street 1:17777 VENTURA BLVD
Practice Address - Street 2:252
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-3736
Practice Address - Country:US
Practice Address - Phone:323-912-9220
Practice Address - Fax:818-221-0534
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-02
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4877213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1568765915OtherGROUP NPI NUMBER;