Provider Demographics
NPI:1306499280
Name:SEEMA SANGWAN MD INC A CALIFORNIA PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:SEEMA SANGWAN MD INC A CALIFORNIA PROFESSIONAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANGWAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-799-2957
Mailing Address - Street 1:11126 LINDA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-4770
Mailing Address - Country:US
Mailing Address - Phone:650-799-2957
Mailing Address - Fax:
Practice Address - Street 1:101 S SAN MATEO DR STE 102
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-3840
Practice Address - Country:US
Practice Address - Phone:650-435-8211
Practice Address - Fax:844-965-9436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-19
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty