Provider Demographics
NPI:1144363011
Name:ATAEE, SEAN (MD)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:
Last Name:ATAEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SEAN
Other - Middle Name:
Other - Last Name:ATAEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3300 W COAST HWY
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-4026
Mailing Address - Country:US
Mailing Address - Phone:949-491-9991
Mailing Address - Fax:949-258-5858
Practice Address - Street 1:1510 N SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-2332
Practice Address - Country:US
Practice Address - Phone:949-939-3138
Practice Address - Fax:949-788-1734
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY232919208100000X
CAA1067042081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation