Provider Demographics
NPI:1336554328
Name:SEYEDALI, SEYEDEHSARA (MD)
Entity type:Individual
Prefix:DR
First Name:SEYEDEHSARA
Middle Name:
Last Name:SEYEDALI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:SEYEDALI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:12462 PUTNAM ST STE 402
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-1049
Mailing Address - Country:US
Mailing Address - Phone:562-967-2788
Mailing Address - Fax:732-776-4798
Practice Address - Street 1:12462 PUTNAM ST STE 402
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-1049
Practice Address - Country:US
Practice Address - Phone:562-967-2788
Practice Address - Fax:732-776-4798
Is Sole Proprietor?:No
Enumeration Date:2014-06-27
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA162206207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology