Individual
SEAN DAVID TOTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1492 FAIRMONT DR, CORONA, CA 92882
(951) 256-0947
Mailing address
1492 FAIRMONT DR, CORONA, CA 92882-4516
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20200
CA
Other
Enumeration date
03/02/2009
Last updated
11/04/2010
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