JAE WOO SEO (NPI# 1265070023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265070023 |
| Entity Type | Individual |
| Full Name | JAE WOO SEO |
| Practice Address |
13718 Russell St Whittier CA 90602-3149 |
| Practice Telephone | 7148757123 |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942595509 | Jae Ho Seo | Pharmacist | 6845 Sierra Center Pkwy, Reno, NV 89511-2214 | 2011-06-12 |
| Street Address |
13718 RUSSELL ST |
| City | WHITTIER |
| State | CA |
| Zip Code | 90602-3149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346896412 | Alexis Pettway | Specialist/Technologist | 13847 Earlham Drive, Whittier, CA 90602 | 2019-08-14 |
| 1053898486 | Bridget Joanne Islas | Case Manager/Care Coordinator | 8219 Milton Ave., Apt. D, Whittier, CA 90602 | 2018-07-27 |
| 1184175606 | Metzie America Moran | Specialist | 8135 Painter Ave Suite 201, Whittier, CA 90602 | 2016-10-19 |
| 1811348360 | Jasmine Renee Simmons | Speech-Language Pathologist | 8135 Painter Avenue, Suite #200, Whittier, CA 90602 | 2016-06-27 |
| 1194108084 | Aaronshawn Poolsaad | Optometrist | 8135 Painter Ave Ste 100, Whittier, CA 90602 | 2015-07-09 |
| 1124409677 | Alliance Orthotics & Prosthetics Inc. | Clinic/Center | 12458 East Washington Blvd, Whittier, CA 90602 | 2015-06-10 |
| 1205223567 | Maria Ursula Jarrin Lopez | Speech-Language Pathologist | 8135 Painter Avenue, Suite 201, Whittier, CA 90602 | 2015-04-23 |
| 1932595055 | Sotto Lin Weng | Acupuncturist | 7754 Painter Avenue, Whittier, CA 90602 | 2015-04-15 |
| 1770978660 | Carolyn Rumpeltes | Physician Assistant | 12462 Putnam St Ste 203, Whittier, CA 90602 | 2015-03-30 |
| 1609273671 | Anthony Razon | Specialist/Technologist | 8132 Painter Ave Ste 201, Whittier, CA 90602 | 2014-11-19 |
| Find all providers in zip 90602 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346886538 | Alexander John Velarde | Physician Assistant | 10913 Bogardus Ave, Whittier, CA 90603-3153 | 2019-11-21 |
| 1710522941 | Jeffrey Jagiello | Physician Assistant | 12329 Breezewood Dr Apt 4, Whittier, CA 90604-3816 | 2019-11-12 |
| 1477194215 | Armando Aguiniga | Physician Assistant | 12291 Washington Blvd Ste 302, Whittier, CA 90606-2549 | 2019-10-02 |
| 1174183388 | Alexis Burciaga | Physician Assistant | 16503 Windsor Ave, Whittier, CA 90603-3077 | 2019-06-19 |
| 1386134542 | Melissa Lopez | Physician Assistant | 9209 Colima Rd Ste 2000b, Whittier, CA 90605-1816 | 2018-05-14 |
| 1376043133 | Allesa Rachelle Bumgardner | Physician Assistant | 12401 Washington Blvd Ste 400, Whittier, CA 90602-1006 | 2018-02-19 |
| 1518474816 | Sakshi Madan | Physician Assistant | 14442 Whittier Blvd Ste 105, Whittier, CA 90605 | 2018-01-08 |
| 1134538721 | Jeremy Jay Romaine | Physician Assistant | 6501 Greenleaf Ave, Whittier, CA 90601-4108 | 2014-08-07 |
| 1639582612 | Jacqueline Surrency LLC | Physician Assistant | 10131 Memphis Ave, Whittier, CA 90603-2024 | 2014-06-06 |
| 1831527506 | Angelina Flores | Physician Assistant | Pih Health Family Medicine, 15725 E. Whittier Blvd., #400, Whittier, CA 90603-2338 | 2013-10-16 |
| Find all providers in WHITTIER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.