Alex Sahba MD Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A84805 Issued in CA

Legal business name

ALEX SAHBA MD INC

Practice address

1330 17TH St
Santa Monica, CA 90404-1902

Phone

(310) 230-7400

Fax

(310) 230-7440

NPI assigned

Oct 21, 2013

Last updated

Oct 21, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alex Sahba, MD

Title

Ceo Owner

Phone

(310) 230-7400

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1184052656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3243 CASTLE HEIGHTS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900342708",
            "telephone_number": "310-230-7400",
            "fax_number": "310-230-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 17TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041902",
            "telephone_number": "310-230-7400",
            "fax_number": "310-230-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX SAHBA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "SAHBA",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "310-230-7400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A84805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.