Provider Demographics
NPI:1215753439
Name:SINA SAFAHIEH MD INC
Entity type:Organization
Organization Name:SINA SAFAHIEH MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFAHIEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-471-3471
Mailing Address - Street 1:3620 BIRCH ST STE 210
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2625
Mailing Address - Country:US
Mailing Address - Phone:949-207-6775
Mailing Address - Fax:
Practice Address - Street 1:3620 BIRCH ST STE 210
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2625
Practice Address - Country:US
Practice Address - Phone:949-207-6775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty