Organization
SEAN XIE, M.D. A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN XIE M.D. (PRESIDENT)
(213) 977-1102
Entity
Organization
Contact information
Practice address
1414 S GRAND AVE, SUITE 100, LOS ANGELES, CA 90015-3067
(213) 977-1102
(213) 977-0656
Mailing address
PO BOX 2077, SANTA MONICA, CA 90406-2077
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A85370
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A853700
—
CA
Enumeration date
06/12/2006
Last updated
03/19/2020
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