Individual
DR. CARL R SELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17400 IRVINE BLVD, SUITE F, TUSTIN, CA 92780-3030
(714) 838-5610
Mailing address
17400 IRVINE BLVD, SUITE F, TUSTIN, CA 92780-3030
(714) 838-5610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A20803
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437265352
NPI
CA
01
—
1689633125
GRP.NPI
CA
01
—
W1779
MEDICARE GRP #
CA
Enumeration date
08/22/2006
Last updated
02/21/2008
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