Provider Demographics
NPI:1841209624
Name:SEMINARIO, OSCAR RODOLFO (MD, INC)
Entity Type:Individual
Prefix:
First Name:OSCAR
Middle Name:RODOLFO
Last Name:SEMINARIO
Suffix:
Gender:M
Credentials:MD, INC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93215-1726
Mailing Address - Country:US
Mailing Address - Phone:661-725-3772
Mailing Address - Fax:661-721-1342
Practice Address - Street 1:1425 MAIN ST
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215-1726
Practice Address - Country:US
Practice Address - Phone:661-725-3772
Practice Address - Fax:661-721-1342
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA34063207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A340630Medicaid
CAB49767Medicare UPIN
CA00A430630Medicare ID - Type UnspecifiedMEDICARE