| Alex Sahba Md Inc | |
|
1330 17th St Santa Monica CA 90404-1902 | |
| (310) 230-7400 | |
| (310) 230-7440 |
| Full Name | Alex Sahba Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1330 17th St, Santa Monica, California |
| Authorized Official Name and Position | Alex Sahba (CEO OWNER) |
| Authorized Official Contact | 3102307400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alex Sahba Md Inc 3243 Castle Heights Ave Los Angeles CA 90034-2708 Ph: (310) 230-7400 | Alex Sahba Md Inc 1330 17th St Santa Monica CA 90404-1902 Ph: (310) 230-7400 |
| NPI Number | 1184052656 |
|---|---|
| Provider Enumeration Date | 10/21/2013 |
| Last Update Date | 10/21/2013 |
| Medicare PECOS PAC ID | 7416186903 |
|---|---|
| Medicare Enrollment ID | O20140203001052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184052656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A84805 (California) | Primary |
| Provider Name | Alex Sahba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619924792 PECOS PAC ID: 1456379361 Enrollment ID: I20100127000934 |
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