Provider Demographics
NPI:1316944978
Name:SAINES, MARIUS (MD)
Entity type:Individual
Prefix:MR
First Name:MARIUS
Middle Name:
Last Name:SAINES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 E HARDY ST
Mailing Address - Street 2:STE 322
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-4036
Mailing Address - Country:US
Mailing Address - Phone:310-673-6950
Mailing Address - Fax:310-671-9989
Practice Address - Street 1:575 E HARDY ST
Practice Address - Street 2:STE 322
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-4036
Practice Address - Country:US
Practice Address - Phone:310-673-6950
Practice Address - Fax:310-671-9989
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-28
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA363902086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A363900Medicaid
CA00A363900Medicaid
CAA36390Medicare ID - Type Unspecified