Provider Demographics
NPI:1801842943
Name:FISCHER, SEAN ADAM (MD)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:ADAM
Last Name:FISCHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2021 SANTA MONICA BLVD
Mailing Address - Street 2:SUITE 400E
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2208
Mailing Address - Country:US
Mailing Address - Phone:310-453-5654
Mailing Address - Fax:310-453-6885
Practice Address - Street 1:2001 SANTA MONICA BLVD STE 560W
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2182
Practice Address - Country:US
Practice Address - Phone:310-453-5654
Practice Address - Fax:310-453-6885
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2024-01-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA95048207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology