Organization
DR. DEBORA SEDAGHAT OBGYN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORA SANAM SEDAGHAT DO (OBGYN PHYSICIAN/PRESIDENT)
(310) 490-2126
Entity
Organization
Contact information
Practice address
11100 WARNER AVE, 106, FOUNTAIN VALLEY, CA 92708-7506
(714) 966-2112
(714) 966-2335
Mailing address
11100 WARNER AVE, 106, FOUNTAIN VALLEY, CA 92708-7506
(714) 966-2112
(714) 966-2335
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578619243
INDIVIDUAL
CA
Enumeration date
01/04/2011
Last updated
02/11/2014
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