Provider Demographics
NPI:1619772944
Name:UNDERHILL, SEAN LEE (COMMUNICATION BS)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:LEE
Last Name:UNDERHILL
Suffix:
Gender:M
Credentials:COMMUNICATION BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 HUCKLEBERRY IS
Mailing Address - Street 2:
Mailing Address - City:BROOKDALE
Mailing Address - State:CA
Mailing Address - Zip Code:95007
Mailing Address - Country:US
Mailing Address - Phone:831-252-4298
Mailing Address - Fax:
Practice Address - Street 1:298B BERNAL RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95119
Practice Address - Country:US
Practice Address - Phone:408-638-4744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist