MEDICARE: SAAD BAKHAYA MD INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician

General Provider Information

NPI Number	:	1174611297
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAAD BAKHAYA MD INC

Provider Business Mailing Address
First Line	:	1629 WEST AVENUE J
Second Line	:	SUITE 116
City	:	LANCASTER
State	:	CA
Zip	:	93534
Country	:	US
Telephone Number	:	661-945-1511
Fax Number	:	661-945-5539

Provider Business Practice Location Address
First Line	:	1629 WEST AVENUE J
Second Line	:	SUITE 116
City	:	LANCASTER
State	:	CA
Zip	:	93534
Country	:	US
Telephone Number	:	661-945-1511
Fax Number	:	661-945-5539

Authorized Official
Title or Position	:	PHYSICIAN OWNER
Name	:	SAAD MATTI BAKHAYA
Credential	:	MD
Telephone Number	:	661-945-1511

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	08/22/2020

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