Castoria Seymore, Jr. MD a Professional Corperation

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

CASTORIA SEYMORE, JR. MD A PROFESSIONAL CORPERATION

Doing business as

southern california pain management center

Practice address

4644 Lincoln Blvd
424
Marina del Rey, CA 90292-6313

Phone

(131) 048-2690

Fax

(131) 048-2695

NPI assigned

Oct 5, 2007

Last updated

Oct 5, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Castoria Seymore Jr., MD

Title

Medical Director

Phone

(310) 482-6906

Specialties & licenses 1

Addresses

Other names 1

• southern california pain management center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1043408941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4644 LINCOLN BLVD",
            "address_2": "424",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926313",
            "telephone_number": "131-048-2690",
            "fax_number": "131-048-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4644 LINCOLN BLVD",
            "address_2": "424",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926313",
            "telephone_number": "131-048-2690",
            "fax_number": "131-048-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTORIA SEYMORE, JR. MD A PROFESSIONAL CORPERATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "SEYMORE",
        "authorized_official_first_name": "CASTORIA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "13104826906",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "southern california pain management center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Geraldine Cedeno

• Pain Medicine (Anesthesiology) Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.