Healthcare Provider Details

I. General information

NPI: 1003522673
Provider Name (Legal Business Name): SAHAR SAFFI RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2023
Last Update Date: 01/26/2023
Certification Date: 01/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4109 BROADMOOR CMN APT 113
FREMONT CA
94538-7012
US

IV. Provider business mailing address

1100 VETERANS BLVD
REDWOOD CITY CA
94063-2037
US

V. Phone/Fax

Practice location:
  • Phone: 510-506-4659
  • Fax:
Mailing address:
  • Phone: 510-809-5253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: