Active NPI
Mark Seo
- Pharmacist
- Porter Ranch, CA
National Provider Identifier
1144806225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 84176
- Practice address
- 18012 Hiawatha St Apt 285
Porter Ranch, CA 91326-3533 - Phone
- (213) 265-1960
- NPI assigned
- Mar 20, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 84176 | CA | Primary |
Addresses
Primary practice location
18012 Hiawatha St Apt 285
Porter Ranch, CA 91326-3533
Mailing address
18012 Hiawatha St Apt 285
Porter Ranch, CA 91326-3533
Phone (213) 265-1960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616198400000",
"number": "1144806225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18012 HIAWATHA ST APT 285",
"city": "PORTER RANCH",
"state": "CA",
"postal_code": "913263533",
"telephone_number": "213-265-1960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18012 HIAWATHA ST APT 285",
"city": "PORTER RANCH",
"state": "CA",
"postal_code": "913263533",
"telephone_number": "213-265-1960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEO",
"first_name": "MARK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-20",
"last_updated": "2021-03-20",
"certification_date": "2021-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "84176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Porter Ranch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.