Individual
SEAN W HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-4216
(310) 423-0811
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G83076
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G830760
—
CA
01
—
780001739
RR MEDICARE
—
01
—
RHD142665
DEPT OF HEALTH SERVICES
CA
Enumeration date
02/27/2007
Last updated
12/26/2024
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