Healthcare Provider Details

I. General information

NPI: 1447117437
Provider Name (Legal Business Name): DAVID SAVEAU EDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 INGLEWOOD AVE
REDONDO BEACH CA
90278-3912
US

IV. Provider business mailing address

PO BOX 15012
NEWPORT BEACH CA
92659-5012
US

V. Phone/Fax

Practice location:
  • Phone: 310-798-8610
  • Fax:
Mailing address:
  • Phone: 310-798-8610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number200068517
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: