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NPI Code Detail

MEDICARE: DR. ARYA SAIDI OD

MEDICARE:  DR. ARYA  SAIDI  OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOPT35122-TLGCA

General Provider Information

NPI Number : 1396475125
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARYA SAIDI OD
Provider Business Mailing Address
First Line : 18832 VISTA PORTOLA
Second Line :
City : LAKE FOREST
State : CA
Zip : 92679-1103
Country : US
Telephone Number : 949-702-2686
Fax Number :
Provider Business Practice Location Address
First Line : 18832 VISTA PORTOLA
Second Line :
City : LAKE FOREST
State : CA
Zip : 92679-1103
Country : US
Telephone Number : 949-702-2686
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2022
Last Update Date : 06/14/2022

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