Provider Demographics
NPI:1578950663
Name:JASON SABET-PEYMAN, M.D., INC.
Entity Type:Organization
Organization Name:JASON SABET-PEYMAN, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ESFANDIAR
Authorized Official - Middle Name:JASON
Authorized Official - Last Name:SABET-PEYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-282-3150
Mailing Address - Street 1:301 W BASTANCHURY RD
Mailing Address - Street 2:#190
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-3419
Mailing Address - Country:US
Mailing Address - Phone:714-449-1940
Mailing Address - Fax:
Practice Address - Street 1:301 W BASTANCHURY RD
Practice Address - Street 2:#190
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-3419
Practice Address - Country:US
Practice Address - Phone:714-449-1940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-16
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA109912261QS0132X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery