Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A102982 | CA |
N | 111NI0900X | Internist | A102982 | CA |
N | 207RC0200X | Critical Care Medicine | A102982 | CA |
Y | 207RP1001X | Pulmonary Disease | A102982 | CA |
NPI | 1023288719 |
---|---|
Provider Name | Dr. David Mehrdad Sayah |
First Address | Los Angeles, CA 90095-1690 |
Second Address | Los Angeles, CA 90095-1693 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2008 |
Last Update Date | 12/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1023288719 | (05) | CA |