Provider Demographics
NPI:1164469532
Name:SEINK, STEPHEN MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:MICHAEL
Last Name:SEINK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2860 N SANTIAGO BLVD
Mailing Address - Street 2:STE 110
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-1722
Mailing Address - Country:US
Mailing Address - Phone:949-645-0000
Mailing Address - Fax:949-645-0003
Practice Address - Street 1:2860 N SANTIAGO BLVD
Practice Address - Street 2:STE 110
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-1722
Practice Address - Country:US
Practice Address - Phone:949-645-0000
Practice Address - Fax:949-645-0003
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA87147207RS0012X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A871470Medicaid
CAH89878Medicare UPIN
CAWA87147AMedicare ID - Type Unspecified