Provider Demographics
NPI:1942420344
Name:HAYILL, SAUREET (LAC)
Entity type:Individual
Prefix:MS
First Name:SAUREET
Middle Name:
Last Name:HAYILL
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1440 REXFORD DR
Mailing Address - Street 2:302
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-3150
Mailing Address - Country:US
Mailing Address - Phone:310-553-2359
Mailing Address - Fax:310-553-2359
Practice Address - Street 1:1440 REXFORD DR
Practice Address - Street 2:302
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-3150
Practice Address - Country:US
Practice Address - Phone:310-553-2359
Practice Address - Fax:310-553-2359
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4800171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist