Healthcare Provider Details

I. General information

NPI: 1356684096
Provider Name (Legal Business Name): SAIF AL YASEEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2013
Last Update Date: 08/29/2023
Certification Date: 08/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 E CHAPMAN AVE
ORANGE CA
92869-3204
US

IV. Provider business mailing address

26634 SIERRA VIS
MISSION VIEJO CA
92692-3334
US

V. Phone/Fax

Practice location:
  • Phone: 714-633-1011
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number141962
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number141962
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: