Provider Information for 1982766879
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Dr. DAVID SEQUEIRA Ph.D.
Sex: Male
NPI: 1982766879
Last Updated: 2015-02-18
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1982766879 | ||||||||
| Enumeration Date | 2006-12-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1832 PENINSULA VERDE DR RANCHO PALOS VERDES, CA 90275-1051 United States Phone: 424-477-4383 | Fax:310-831-8378 | ||||||||
| Primary Practice Address | 1945 PALO VERDE AVE SUITE 202 LONG BEACH, CA 90815-3443 United States Phone: 424-477-4383 | Fax:310-831-8378 | ||||||||
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