Provider Demographics
NPI:1821273137
Name:BAHRI, SEAN S (MD)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:S
Last Name:BAHRI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2011 WESTCLIFF DR
Mailing Address - Street 2:SUITE #1
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-5599
Mailing Address - Country:US
Mailing Address - Phone:949-631-7577
Mailing Address - Fax:949-631-5104
Practice Address - Street 1:2011 WESTCLIFF DR
Practice Address - Street 2:SUITE #1
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-5599
Practice Address - Country:US
Practice Address - Phone:949-631-7577
Practice Address - Fax:949-631-5104
Is Sole Proprietor?:No
Enumeration Date:2008-01-04
Last Update Date:2008-02-19
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Provider Licenses
StateLicense IDTaxonomies
CAA51230207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF67312Medicare UPIN
CAWA51230Medicare PIN