Provider Demographics
NPI:1548031362
Name:7 SEAS MEDICAL, LLC
Entity type:Organization
Organization Name:7 SEAS MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:FASTIGGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-556-5509
Mailing Address - Street 1:5015 TWILIGHT CANYON RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-3957
Mailing Address - Country:US
Mailing Address - Phone:562-556-5509
Mailing Address - Fax:
Practice Address - Street 1:5015 TWILIGHT CANYON RD UNIT B
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92887-3957
Practice Address - Country:US
Practice Address - Phone:562-556-5509
Practice Address - Fax:310-432-2428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty