Provider Demographics
NPI:1245330828
Name:SEIF, MEDHAT (MD)
Entity type:Individual
Prefix:DR
First Name:MEDHAT
Middle Name:
Last Name:SEIF
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:PO BOX 187
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90637-0187
Mailing Address - Country:US
Mailing Address - Phone:562-904-6031
Mailing Address - Fax:562-904-6033
Practice Address - Street 1:8077 FLORENCE AVE STE 112
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-3894
Practice Address - Country:US
Practice Address - Phone:562-904-6031
Practice Address - Fax:562-904-6033
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA33932207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A339321Medicaid
CAA84541Medicare UPIN