Provider Demographics
NPI:1942465299
Name:DARCY, SEAN J (M D)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:J
Last Name:DARCY
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 N LAKEWOOD BLVD
Mailing Address - Street 2:STE D264
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-2552
Mailing Address - Country:US
Mailing Address - Phone:310-351-8814
Mailing Address - Fax:562-343-2912
Practice Address - Street 1:2201 N LAKEWOOD BLVD
Practice Address - Street 2:STE D264
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-2552
Practice Address - Country:US
Practice Address - Phone:310-351-8814
Practice Address - Fax:562-343-2912
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-26
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1110742086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery