Provider Demographics
NPI:1861544058
Name:PEYMAN SAADAT, M.D. INC.
Entity type:Organization
Organization Name:PEYMAN SAADAT, M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:PEYMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAADAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-247-9040
Mailing Address - Street 1:269 S BEVERLY DR # 644
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-3807
Mailing Address - Country:US
Mailing Address - Phone:310-247-9040
Mailing Address - Fax:310-278-7599
Practice Address - Street 1:9301 WILSHIRE BLVD STE 208
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-6113
Practice Address - Country:US
Practice Address - Phone:310-247-9040
Practice Address - Fax:310-278-7599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA64686174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherTIN