Provider Demographics
NPI:1215042866
Name:EL-ZAYAT, SAID L (MD)
Entity Type:Individual
Prefix:DR
First Name:SAID
Middle Name:L
Last Name:EL-ZAYAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2989
Mailing Address - Street 2:
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740-1989
Mailing Address - Country:US
Mailing Address - Phone:714-379-3221
Mailing Address - Fax:714-379-3211
Practice Address - Street 1:12665 GARDEN GROVE BLVD
Practice Address - Street 2:#502-A
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-1901
Practice Address - Country:US
Practice Address - Phone:714-537-7800
Practice Address - Fax:714-537-7633
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA37201208M00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A372010Medicaid
CA00A372010Medicaid
CAA84984Medicare UPIN