Healthcare Provider Details

I. General information

NPI: 1417153404
Provider Name (Legal Business Name): LAURENCE R SABEN MD A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9939 HIBERT ST STE 204
SAN DIEGO CA
92131-1031
US

IV. Provider business mailing address

9939 HIBERT ST STE 204
SAN DIEGO CA
92131-1031
US

V. Phone/Fax

Practice location:
  • Phone: 619-440-7831
  • Fax: 619-440-0540
Mailing address:
  • Phone: 619-440-7831
  • Fax: 619-440-0540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberG27446
License Number StateCA

VIII. Authorized Official

Name: LAURENCE ROSS SABEN
Title or Position: MD
Credential:
Phone: 619-440-7831