Healthcare Provider Details

I. General information

NPI: 1285917047
Provider Name (Legal Business Name): SEPIDEH SABER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2011
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16542 VENTURA BLVD STE 302
ENCINO CA
91436-5030
US

IV. Provider business mailing address

16260 VENTURA BLVD STE 225
ENCINO CA
91436-2230
US

V. Phone/Fax

Practice location:
  • Phone: 818-770-7050
  • Fax: 818-770-7051
Mailing address:
  • Phone: 818-770-7050
  • Fax: 818-770-7051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberA125351
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberA125351
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: