Provider Demographics
NPI:1699375717
Name:TONG, SEEMA (FNP-C)
Entity Type:Individual
Prefix:
First Name:SEEMA
Middle Name:
Last Name:TONG
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:SEEMA
Other - Middle Name:
Other - Last Name:VOHRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2222 SANTA MONICA BLVD STE 301
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2307
Mailing Address - Country:US
Mailing Address - Phone:562-430-4327
Mailing Address - Fax:
Practice Address - Street 1:2222 SANTA MONICA BLVD STE 301
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2307
Practice Address - Country:US
Practice Address - Phone:562-212-9322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-28
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAF09200674363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily