Provider Demographics
NPI:1053683797
Name:S&I CAPITAL LLC
Entity Type:Organization
Organization Name:S&I CAPITAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:TAYEBI
Authorized Official - Suffix:
Authorized Official - Credentials:FACOG
Authorized Official - Phone:858-354-4640
Mailing Address - Street 1:939 COAST BLVD UNIT 19D
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-4169
Mailing Address - Country:US
Mailing Address - Phone:858-354-4640
Mailing Address - Fax:
Practice Address - Street 1:939 COAST BLVD UNIT 18E
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-4149
Practice Address - Country:US
Practice Address - Phone:858-354-4640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-26
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA51498261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical