=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033683875
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SABIRA SAIFUDDIN MD, A MEDICAL CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/15/2019
-----------------------------------------------------
Last Update Date | 11/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 31194 LA BAYA DR STE 202
-----------------------------------------------------
City | WESTLAKE VILLAGE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91362-6432
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-341-3416
-----------------------------------------------------
Fax | 818-865-8214
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 31194 LA BAYA DR STE 202
-----------------------------------------------------
City | WESTLAKE VILLAGE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91362-6432
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-341-3416
-----------------------------------------------------
Fax | 818-865-8214
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PSYCHIATRIST
-----------------------------------------------------
Name | SABIRA SAIFUDDIN
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 805-341-3416
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0804X
-----------------------------------------------------
Taxonomy Name | Child & Adolescent Psychiatry Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------