Healthcare Provider Details

I. General information

NPI: 1942480231
Provider Name (Legal Business Name): SAYED MONIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2007
Last Update Date: 03/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 W LEGION RD
BRAWLEY CA
92227-7714
US

IV. Provider business mailing address

PO BOX 27518
ANAHEIM CA
92809-0117
US

V. Phone/Fax

Practice location:
  • Phone: 760-351-8669
  • Fax: 760-351-8894
Mailing address:
  • Phone: 760-351-8669
  • Fax: 760-351-8894

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberA101939
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA101939
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: