Healthcare Provider Details

I. General information

NPI: 1801724927
Provider Name (Legal Business Name): DR. BIJAN SADRI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 LILY POOL
IRVINE CA
92620-3399
US

IV. Provider business mailing address

36 LILY POOL
IRVINE CA
92620-3399
US

V. Phone/Fax

Practice location:
  • Phone: 949-241-7273
  • Fax:
Mailing address:
  • Phone: 949-241-7273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: