Provider Demographics
NPI:1386653178
Name:BARLOW, SEAN ARTHUR (MD)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:ARTHUR
Last Name:BARLOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SEAN
Other - Middle Name:ARTHUR
Other - Last Name:BARLOW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:41990 COOK ST # F2008
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-6100
Mailing Address - Country:US
Mailing Address - Phone:760-674-9777
Mailing Address - Fax:
Practice Address - Street 1:41990 COOK ST
Practice Address - Street 2:BUILDING F SUITE 2008
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-6100
Practice Address - Country:US
Practice Address - Phone:760-674-9777
Practice Address - Fax:760-674-0355
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN597222084P0802X
CAG782962084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA33BDC7Medicaid
CA00G782960Medicare PIN
CAG33385Medicare UPIN