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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SEAN JOSEPH WOLLASTON, M.D.

Active

SEAN JOSEPH WOLLASTON, M.D. is a Specialist healthcare provider located in NORTH HOLLYWOOD, California. NPI 1316921075 is currently active in the NPPES registry. Verify at CMS.

Specialist · NORTH HOLLYWOOD, CA

Registration Details

NPI Number
1316921075
Provider Type
Individual
Gender
Male
NPI Issued
Dec 5, 2005 (20.676788569548 yrs)
Last Updated
Sep 26, 2011
License
A63797 (CA)

Practice Information

Address
12660 RIVERSIDE DR
SUITE 200
NORTH HOLLYWOOD, CA, 916073429
Browse CA providers · Browse ZIP 91607
Phone
8189807010
Fax
8189807330
Primary Specialty
Specialist
174400000X

Other Specialist Providers in NORTH HOLLYWOOD, CA

Name Credential NPI
DR. WONIL LEE M.D. 1992780225
DR. PENG THIM FAN M.D. 1104801463
MR. JAMES W DRYDEN CPO 1760537120
MRS. REJIELYN CERDENIO OTR/L 1902136633
TAMARA SEIGEL OT 1265763692
ANTHONY MAXIMO OT 1548591985
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.