Individual
DR. HAROLD D SEGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 CASA ST, SAN LUIS OBISPO, CA 93405-1804
(805) 543-4319
(805) 543-0446
Mailing address
140 CASA ST, SAN LUIS OBISPO, CA 93405-1804
(805) 543-4319
(805) 543-0446
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A32286
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-3505983
FEDERAL TAX ID
CA
01
—
A32286
STATE LICENSE
CA
Enumeration date
05/26/2006
Last updated
07/13/2010
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