MEDICARE: DANA SAIFAN PHD

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	103TC2200X	Clinical Child & Adolescent Psychologist

General Provider Information

NPI Number	:	1790266369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA SAIFAN PHD

Provider Business Mailing Address
First Line	:	1045 ATLANTIC AVE STE 801
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-3410
Country	:	US
Telephone Number	:	562-491-7977
Fax Number	:

Provider Business Practice Location Address
First Line	:	1045 ATLANTIC AVE STE 801
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-3410
Country	:	US
Telephone Number	:	562-491-7977
Fax Number	:

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

Provider Enumeration Date	:	08/22/2018
Last Update Date	:	09/28/2022

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Directions to “ DANA SAIFAN PHD” Practice Location

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