Provider Demographics
NPI:1841809597
Name:SEAN S. TO., M.D., INC
Entity type:Organization
Organization Name:SEAN S. TO., M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:SANG VAN
Authorized Official - Last Name:TO
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:951-834-8515
Mailing Address - Street 1:1317 S. DIAMOND BAR BLVD STE. 4462
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765
Mailing Address - Country:US
Mailing Address - Phone:626-652-8871
Mailing Address - Fax:909-988-1001
Practice Address - Street 1:5562 PHILADELPHIA ST STE 201
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710
Practice Address - Country:US
Practice Address - Phone:909-988-1000
Practice Address - Fax:909-988-1001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty