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Organization

MICHAEL A SEQUEIRA MD INC

Active
Other names
Michael A Sequeira MD Inc, none
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL ANTHONY SEQUEIRA MD (CEO)
(951) 255-2332
Entity
Organization

Contact information

Practice address
458 POTOMAC WAY, CLAREMONT, CA 91711-2762
(909) 477-0316
Mailing address
458 POTOMAC WAY, CLAREMONT, CA 91711-2762
(909) 477-0316

Taxonomy

Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
C93745
CA
Enumeration date
05/20/2020
Last updated
05/20/2020
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