Provider Demographics
NPI:1063057230
Name:SEPIDEH SABER MD INC
Entity type:Organization
Organization Name:SEPIDEH SABER MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEPIDEH
Authorized Official - Middle Name:
Authorized Official - Last Name:SABER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-770-7050
Mailing Address - Street 1:16542 VENTURA BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-5030
Mailing Address - Country:US
Mailing Address - Phone:818-770-7050
Mailing Address - Fax:818-770-7051
Practice Address - Street 1:16542 VENTURA BLVD STE 302
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-5030
Practice Address - Country:US
Practice Address - Phone:818-770-7050
Practice Address - Fax:818-770-7050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-12
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Multi-Specialty
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Multi-Specialty