MEDICARE: MOHSEN SAIDINEJAD MD, MS, MBA

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
1	174400000X	Specialist	216212	MA
2	2080P0204X	Pediatric Emergency Medicine (Pediatrics) Physician	C5657204	CA

General Provider Information

NPI Number	:	1588632798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHSEN SAIDINEJAD MD, MS, MBA

Provider Business Mailing Address
First Line	:	1000 W CARSON ST # 21
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90502-2004
Country	:	US
Telephone Number	:	244-306-5432
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 W CARSON ST # 21
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90502-2059
Country	:	US
Telephone Number	:	424-306-5432
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	08/17/2022

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