Provider Demographics
NPI:1437247467
Name:HAROLD W SEIFER MD & MICHAEL FREUND MD INC
Entity Type:Organization
Organization Name:HAROLD W SEIFER MD & MICHAEL FREUND MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FREUND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-531-6140
Mailing Address - Street 1:3650 E SOUTH STREET
Mailing Address - Street 2:STE 110
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:92886-1502
Mailing Address - Country:US
Mailing Address - Phone:562-531-6140
Mailing Address - Fax:562-531-7404
Practice Address - Street 1:3650 E SOUTH STREET
Practice Address - Street 2:STE 110
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:92886-1502
Practice Address - Country:US
Practice Address - Phone:562-531-6140
Practice Address - Fax:562-531-7404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAYY4489874Medicaid
CAYYY489874Medicaid
1780678094Medicare UPIN
CAYY4489874Medicaid
W1347Medicare ID - Type UnspecifiedFREUND
W1347Medicare ID - Type UnspecifiedSEIFER