Individual
DR. JERRY SEBAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., FACS, FRCOPHTH
Contact information
Practice address
7677 CENTER AVE, SUITE 400, HUNTINGTON BEACH, CA 92647-3074
(714) 901-7777
(714) 901-7770
Mailing address
7677 CENTER AVE, SUITE 400, HUNTINGTON BEACH, CA 92647-3098
(714) 901-7777
(714) 901-7770
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G423623
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G423623
MEDI-CAL
CA
Enumeration date
06/26/2006
Last updated
03/15/2012
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