Healthcare Provider Details

I. General information

NPI: 1467671545
Provider Name (Legal Business Name): HOMAYOUN SAEID M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1218 W OLIVE AVE
BURBANK CA
91506-2216
US

IV. Provider business mailing address

385 E GREEN ST #2313
PASADENA CA
91101-2321
US

V. Phone/Fax

Practice location:
  • Phone: 818-842-6429
  • Fax:
Mailing address:
  • Phone: 323-793-3997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberA60296
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: