Provider Demographics
NPI:1427657279
Name:EIAD SABIA MD INC
Entity type:Organization
Organization Name:EIAD SABIA MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EIAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SABIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-229-3113
Mailing Address - Street 1:780 CAMINO DE LA REINA APT 245
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3230
Mailing Address - Country:US
Mailing Address - Phone:619-229-3113
Mailing Address - Fax:
Practice Address - Street 1:6655 ALVARADO RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-5208
Practice Address - Country:US
Practice Address - Phone:619-229-3113
Practice Address - Fax:619-229-3275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty