Provider Demographics
NPI:1801041934
Name:GOLNAZ SAEDI, M.D., INC. A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:GOLNAZ SAEDI, M.D., INC. A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GOLNAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:SAEDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-888-7090
Mailing Address - Street 1:7320 WOODLAKE AVE
Mailing Address - Street 2:SUITE 170
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1468
Mailing Address - Country:US
Mailing Address - Phone:888-888-7090
Mailing Address - Fax:818-444-0448
Practice Address - Street 1:7320 WOODLAKE AVE
Practice Address - Street 2:SUITE 170
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1468
Practice Address - Country:US
Practice Address - Phone:888-888-7090
Practice Address - Fax:818-444-0448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-17
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA96736261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA96736OtherSTATE LICENSE
CAA96736OtherSTATE LICENSE