Provider Demographics
NPI:1578239620
Name:SAEB, DOHA
Entity Type:Individual
Prefix:
First Name:DOHA
Middle Name:
Last Name:SAEB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 BELLFLOWER WAY
Mailing Address - Street 2:
Mailing Address - City:LOS BANOS
Mailing Address - State:CA
Mailing Address - Zip Code:93635-8559
Mailing Address - Country:US
Mailing Address - Phone:323-477-0893
Mailing Address - Fax:
Practice Address - Street 1:1145 BELLFLOWER WAY
Practice Address - Street 2:
Practice Address - City:LOS BANOS
Practice Address - State:CA
Practice Address - Zip Code:93635-8559
Practice Address - Country:US
Practice Address - Phone:323-477-0893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date: