Provider Demographics
NPI:1871771873
Name:SETO, JAMES KEN (PA-C)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:KEN
Last Name:SETO
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16000 APPLE VALLEY RD STE C3
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-7815
Mailing Address - Country:US
Mailing Address - Phone:760-242-8900
Mailing Address - Fax:760-242-8994
Practice Address - Street 1:16000 APPLE VALLEY RD STE C3
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-7815
Practice Address - Country:US
Practice Address - Phone:760-242-8900
Practice Address - Fax:760-242-8994
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA19568207Q00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine