Organization
JOHN S SEDER, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN S SEDER MD (OWNER)
(805) 652-5026
Entity
Organization
Contact information
Practice address
147 N BRENT ST, VENTURA, CA 93003-2809
(805) 652-5026
Mailing address
PO BOX 26570, FRESNO, CA 93729-6570
(559) 455-4000
(559) 455-4007
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G299120
BLUE SHIELD
CA
05
—
00G299121
—
CA
Enumeration date
07/09/2006
Last updated
04/09/2008
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