# SETH AHLQUIST MD PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588500417
- **Authorized official:** SETH AHLQUIST MD (PHYSICIAN)
- **Authorized official phone:** (916) 778-8900

## Contact information

- **Practice address:** 2021 SANTA MONICA BLVD \# 530E, SANTA MONICA, CA 90404-2208
- **Practice address phone:** (916) 778-8900
- **Mailing address:** 2021 SANTA MONICA BLVD \# 530E, SANTA MONICA, CA 90404-2208
- **Mailing address phone:** (916) 778-8900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/24/2026
- **Last updated:** 08/01/2026