Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | A125351 | CA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | A125351 | CA |
NPI | 1285917047 |
---|---|
Provider Name | Dr. Sepideh Saber |
First Address | Riverside, CA 92505-2404 |
Second Address | Los Angeles, CA 90025-6807 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2011 |
Last Update Date | 19/11/2019 |