MEDICARE: MEENA SAID M.D.

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	282N00000X	General Acute Care Hospital	A104718	CA
2	208600000X	Surgery Physician	A104718	CA

General Provider Information

NPI Number	:	1245502954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEENA SAID M.D.

Provider Business Mailing Address
First Line	:	8728 DESOTO AVENUE
Second Line	:
City	:	CANOGA PARK
State	:	CA
Zip	:	91304-0009
Country	:	US
Telephone Number	:	818-274-7682
Fax Number	:

Provider Business Practice Location Address
First Line	:	1919 SANTA MONICA BLVD FL 3
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90404-1954
Country	:	US
Telephone Number	:	310-582-7900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2012
Last Update Date	:	01/24/2022

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