# MICHAEL A SEQUEIRA MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Michael A Sequeira MD Inc, none
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861015257
- **Authorized official:** DR. MICHAEL ANTHONY SEQUEIRA MD (CEO)
- **Authorized official phone:** (951) 255-2332

## Contact information

- **Practice address:** 458 POTOMAC WAY, CLAREMONT, CA 91711-2762
- **Practice address phone:** (909) 477-0316
- **Mailing address:** 458 POTOMAC WAY, CLAREMONT, CA 91711-2762
- **Mailing address phone:** (909) 477-0316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2020
- **Last updated:** 05/20/2020