Organization
MEDICAL SPECIALTY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY DAVID SEIP M.D. (OWNER)
(760) 365-2520
Entity
Organization
Contact information
Practice address
57402 29 PALMS HWY, STE 3, YUCCA VALLEY, CA 92284-2950
(760) 821-5551
(760) 365-2524
Mailing address
57402 29 PALMS HWY, STE 3, YUCCA VALLEY, CA 92284-2950
(760) 821-5551
(760) 365-2524
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
4817
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4817
AAAASF CERTIFICATION
CA
Enumeration date
02/13/2013
Last updated
02/13/2013
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