Provider Demographics
NPI:1336129998
Name:SAID, SAMIREH Z (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMIREH
Middle Name:Z
Last Name:SAID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13422 NEWPORT AVE
Mailing Address - Street 2:SUITE J
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3746
Mailing Address - Country:US
Mailing Address - Phone:714-669-0844
Mailing Address - Fax:714-669-0846
Practice Address - Street 1:13422 NEWPORT AVENUE
Practice Address - Street 2:SUITE J
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780
Practice Address - Country:US
Practice Address - Phone:714-669-0844
Practice Address - Fax:714-669-0846
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-19
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG79810174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG64914Medicare UPIN