Alex Sahba MD , a Medical Corp

Primary specialty

Forensic Psychiatry PhysicianTaxonomy code 2084F0202X

License

A84805 Issued in CA

Legal business name

ALEX SAHBA MD , A MEDICAL CORP

Practice address

2355 Westwood Blvd # 129
Los Angeles, CA 90064-2109

Phone

(310) 966-7650

Fax

(310) 407-5441

NPI assigned

Nov 23, 2009

Last updated

Nov 23, 2009By 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, MDNPI 1619924792

Title

Owner

Phone

(310) 966-7650

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alex Sahba, MD

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1619924792
  Authorized official Same address or phone

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1942538343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 WILSHIRE BLVD STE 301",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111827",
            "telephone_number": "310-966-7650",
            "fax_number": "310-407-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 WESTWOOD BLVD # 129",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642109",
            "telephone_number": "310-966-7650",
            "fax_number": "310-407-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX SAHBA MD , A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "SAHBA",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-966-7650",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "CA",
            "license": "A84805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA LICENCE",
            "identifier": "A84805",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gijo Alex, LCSW
• Alexa Manrriquez MD PC
• Alexa Wellcare LLC
• Emanooel Alexan
• Alexander Angerman MD Inc

• Forensic Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Forensic Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.