Provider Demographics
NPI:1851929103
Name:SABA MOTAKEF, MD PC
Entity Type:Organization
Organization Name:SABA MOTAKEF, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SABA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOTAKEF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-925-8932
Mailing Address - Street 1:500 S ANAHEIM HILLS RD STE 242
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-4760
Mailing Address - Country:US
Mailing Address - Phone:949-409-1348
Mailing Address - Fax:
Practice Address - Street 1:500 S ANAHEIM HILLS RD STE 242
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-4760
Practice Address - Country:US
Practice Address - Phone:714-925-8932
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-31
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty