Provider Demographics
NPI:1942629092
Name:MOTAKEF, SABA (MD)
Entity Type:Individual
Prefix:
First Name:SABA
Middle Name:
Last Name:MOTAKEF
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:500 S ANAHEIM HILLS RD
Mailing Address - Street 2:STE 242
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-4760
Mailing Address - Country:US
Mailing Address - Phone:714-941-9055
Mailing Address - Fax:714-941-9273
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:714-935-8932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-15
Last Update Date:2020-12-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA138724208200000X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery