Healthcare Provider Details

I. General information

NPI: 1336359421
Provider Name (Legal Business Name): SAUL JULES FAERSTEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 N BEDFORD DR SUITE 416
BEVERLY HILLS CA
90210-5129
US

IV. Provider business mailing address

360 N BEDFORD DR SUITE 416
BEVERLY HILLS CA
90210-5129
US

V. Phone/Fax

Practice location:
  • Phone: 310-550-0565
  • Fax: 310-550-8487
Mailing address:
  • Phone: 310-550-0565
  • Fax: 310-550-8487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License NumberG021493
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberG021493
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: