Provider Demographics
NPI:1245442250
Name:SEAN Y.I. HAUGH, M.D., INC.
Entity type:Organization
Organization Name:SEAN Y.I. HAUGH, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:YOUNG-IL
Authorized Official - Last Name:HAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-293-3888
Mailing Address - Street 1:1570 THE ALAMEDA
Mailing Address - Street 2:SUITE 228
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2330
Mailing Address - Country:US
Mailing Address - Phone:408-293-3888
Mailing Address - Fax:408-293-1029
Practice Address - Street 1:1570 THE ALAMEDA
Practice Address - Street 2:SUITE 228
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-2330
Practice Address - Country:US
Practice Address - Phone:408-293-3888
Practice Address - Fax:408-293-1029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA651072084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty