Organization
JEFFREY L. SEBASTIAN, M D, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY L SEBASTIAN M.D. (PRESIDENT)
(310) 917-4433
Entity
Organization
Contact information
Practice address
1260 15TH ST STE 709, SANTA MONICA, CA 90404-1142
(310) 917-4433
(310) 917-4432
Mailing address
1260 15TH ST STE 709, SANTA MONICA, CA 90404-1142
(310) 917-4433
(310) 917-4432
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A060390
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W18298A
MEDICARE GROUP ID
CA
Enumeration date
10/25/2007
Last updated
08/31/2023
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