Individual
DR. CHANTAL M. SEJOURNE-DAITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
405 W 5TH ST, STE. 590, SANTA ANA, CA 92701-4519
(714) 834-5015
Mailing address
14140 BEACH BLVD, SUITE #155, WESTMINSTER, CA 92683-4453
(714) 896-7565
(714) 896-7564
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A056007
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A056007
STATE LICENSE
CA
Enumeration date
10/12/2006
Last updated
07/08/2007
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