Healthcare Provider Details

I. General information

NPI: 1497841258
Provider Name (Legal Business Name): SAYEEDA SULTANA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8854 WHITTIER BLVD
PICO RIVERA CA
90660-2658
US

IV. Provider business mailing address

8854 WHITTIER BLVD
PICO RIVERA CA
90660-2658
US

V. Phone/Fax

Practice location:
  • Phone: 562-942-9895
  • Fax: 562-222-2225
Mailing address:
  • Phone: 562-942-9895
  • Fax: 562-222-2225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA53436
License Number StateCA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierA53436
Identifier TypeOTHER
Identifier StateCA
Identifier IssuerMEDICAL LICENSE
# 2
Identifier00A534360
Identifier TypeMEDICAID
Identifier StateCA
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: