Individual provider · NPI-1

Dr. Sejad Al-Tahan, DO

Internal Medicine · Riverside, CA

NPI number1871087874
StatusActive
Last updated in NPPESAug 5, 2021

Details

NPI
1871087874
Entity type
Individual (NPI-1)
Name
Dr. Sejad Al-Tahan
Credential
DO
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 21, 2018
Certification date
Aug 5, 2021
Last updated
Aug 5, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine19006CAYes
390200000X Student in an Organized Health Care Education/Training Program–CA

Practice location

3750 Arlington Ave
Riverside, CA 92506-2607

Phone 951-774-3050

Mailing address

3063 W Chapman Ave Apt 2226
Orange, CA 92868-1746

Phone 480-332-1788

Other practice locations

3033 W Orange Ave
Anaheim, CA 92804-3156

Phone 714-827-3000

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