| Ebrahim Sajedi Md. Inc. | |
|
2222 Santa Monica Blvd Suite 404 Santa Monica CA 90404-2304 | |
| (310) 828-1600 | |
| (310) 829-9362 |
| Full Name | Ebrahim Sajedi Md. Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2222 Santa Monica Blvd, Santa Monica, California |
| Authorized Official Name and Position | Ebrahim Sajedi (DIRECTOR) |
| Authorized Official Contact | 3108281600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ebrahim Sajedi Md. Inc. 2222 Santa Monica Blvd Suite 404 Santa Monica CA 90404-2304 Ph: (310) 828-1600 | Ebrahim Sajedi Md. Inc. 2222 Santa Monica Blvd Suite 404 Santa Monica CA 90404-2304 Ph: (310) 828-1600 |
| NPI Number | 1376564484 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 09/16/2011 |
| Medicare PECOS PAC ID | 0547385296 |
|---|---|
| Medicare Enrollment ID | O20100917000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376564484 | NPI | - | NPPES |
| 00A622640 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ebrahim Sajedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154342269 PECOS PAC ID: 2365492402 Enrollment ID: I20050126001184 |
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