Physician Compare National (NPI:1053893321)

HEALTHCARE PROVIDER: SADAF ROODBAEI

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1053893321
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0840620357
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200424001335
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROODBAEI
	Individual professional last name
Provider First Name	SADAF
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2016
	Individual professional's medical school graduation year
Primary Specialty	QUALIFIED SPEECH LANGUAGE PATHOLOGIST
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	9171 WILSHIRE BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 500
	Group Practice or individual's line 2 address
City	BEVERLY HILLS
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	902105536
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y