Provider Demographics
NPI:1891792925
Name:SEFF, RONALD (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:
Last Name:SEFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 SUMMIT RD
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:94062-2632
Mailing Address - Country:US
Mailing Address - Phone:650-464-6539
Mailing Address - Fax:650-529-1370
Practice Address - Street 1:135 SUMMIT RD
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:CA
Practice Address - Zip Code:94062-2632
Practice Address - Country:US
Practice Address - Phone:650-464-6539
Practice Address - Fax:650-529-1370
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG3295502084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G329550Medicaid
CAA45358Medicare UPIN
CA00G329550Medicare ID - Type UnspecifiedMEDICARE