Healthcare Provider Details

I. General information

NPI: 1386134971
Provider Name (Legal Business Name): SAID M HASHEMI MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2018
Last Update Date: 05/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5471 KEARNY VILLA RD STE 100
SAN DIEGO CA
92123-1141
US

IV. Provider business mailing address

210 N TUSTIN AVE
SANTA ANA CA
92705-3807
US

V. Phone/Fax

Practice location:
  • Phone: 858-560-4567
  • Fax: 858-560-4410
Mailing address:
  • Phone: 714-347-1000
  • Fax: 714-647-1245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA37109
License Number StateCA

VIII. Authorized Official

Name: DR. SAID HASHEMI
Title or Position: PRESIDENT
Credential: MD
Phone: 619-507-9078