Provider Demographics
NPI:1962544148
Name:SAYBIAN ENTERPRISES, INC
Entity type:Organization
Organization Name:SAYBIAN ENTERPRISES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CAMILL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAYADEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-883-9490
Mailing Address - Street 1:22030 SHERMAN WAY
Mailing Address - Street 2:#100
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-1855
Mailing Address - Country:US
Mailing Address - Phone:818-883-9490
Mailing Address - Fax:818-883-9493
Practice Address - Street 1:22030 SHERMAN WAY
Practice Address - Street 2:#100
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-1855
Practice Address - Country:US
Practice Address - Phone:818-883-9490
Practice Address - Fax:818-883-9493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2009-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA49208OtherPHARMACY PERMIT
CA05-13766OtherNCPDP/NABP
CAPHA473110Medicaid
CA49208OtherPHARMACY PERMIT