Provider Demographics
NPI:1275605578
Name:MCBREEN, THOMAS SEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:SEAN
Last Name:MCBREEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2929 LOMA VISTA RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-2900
Mailing Address - Country:US
Mailing Address - Phone:805-653-5741
Mailing Address - Fax:805-653-6829
Practice Address - Street 1:2929 LOMA VISTA RD
Practice Address - Street 2:SUITE E
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-2900
Practice Address - Country:US
Practice Address - Phone:805-653-5741
Practice Address - Fax:805-653-6829
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2011-04-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG42708207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA49081Medicare UPIN
CAG47208Medicare ID - Type Unspecified