Provider Demographics
NPI:1972521573
Name:SEJPAL, MAHESH A (DDS)
Entity Type:Individual
Prefix:
First Name:MAHESH
Middle Name:A
Last Name:SEJPAL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8040 ALONDRA BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-4355
Mailing Address - Country:US
Mailing Address - Phone:562-633-1213
Mailing Address - Fax:562-633-4422
Practice Address - Street 1:8040 ALONDRA BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-4355
Practice Address - Country:US
Practice Address - Phone:562-633-1213
Practice Address - Fax:562-633-4422
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29661122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB2966101OtherDENTICAL