Organization
JOSEPH F. SEDRAK M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH F SEDRAK M.D. (PRESIDENT/CEO)
(909) 796-9544
Entity
Organization
Contact information
Practice address
4440 BROCKTON AVE STE 200, RIVERSIDE, CA 92501-4026
(951) 858-4595
Mailing address
11751 ALMOND CT, LOMA LINDA, CA 92354-3640
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A84538
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A84538
CA
207NS0135X
Procedural Dermatology Physician
A84538
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A845380
—
CA
Enumeration date
06/19/2008
Last updated
06/19/2008
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