Individual
NASIM E SEISAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D
Contact information
Practice address
3200 KEARNEY ST, FREMONT, CA 94538-2299
(510) 490-1222
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 490-1222
(510) 498-2685
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
14180507
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AU3103
STATE MEDICAL LICENSE
CA
Enumeration date
01/27/2016
Last updated
08/14/2019
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