Provider Demographics
NPI:1497784532
Name:FROMONT, SEBASTIEN CHARLES (MD)
Entity Type:Individual
Prefix:
First Name:SEBASTIEN
Middle Name:CHARLES
Last Name:FROMONT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:250 BON AIR RD
Mailing Address - Street 2:
Mailing Address - City:GREENBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94904-1702
Mailing Address - Country:US
Mailing Address - Phone:510-204-3573
Mailing Address - Fax:510-204-4067
Practice Address - Street 1:2001 DWIGHT WAY
Practice Address - Street 2:BAY PSYCHIATRIC ASSOCIATES
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-2608
Practice Address - Country:US
Practice Address - Phone:510-204-3573
Practice Address - Fax:510-204-4067
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA799222084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
H88410Medicare UPIN