Individual
ANN PHILLIPS SEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
215 W JANSS RD, THOUSAND OAKS, CA 91360-1847
(805) 497-2727
Mailing address
215 W JANSS RD, THOUSAND OAKS, CA 91360-1847
(805) 497-2727
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD00040843
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0158007
L&I
WA
05
—
1649203084
—
WA
01
—
P01250820
RR MEDICARE
WA
Enumeration date
07/09/2006
Last updated
06/16/2018
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