Individual
SEAN M AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310 W STEWART DR STE 410, ORANGE, CA 92868-3855
(714) 639-9401
Mailing address
1310 W STEWART DR STE 410, ORANGE, CA 92868-3855
(714) 639-9401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD172191
OR
207R00000X
Internal Medicine Physician
MD2012-0199
NM
208M00000X
Hospitalist Physician
A91093
CA
208M00000X
Hospitalist Physician
Primary
MD172191
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A91093
ST. LICENSE
CA
01
—
P00348143
MC RAILROAD
CA
Enumeration date
08/09/2006
Last updated
04/04/2017
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