Provider Demographics
NPI:1134201791
Name:EL SAYAD, NABIL I (MD)
Entity type:Individual
Prefix:DR
First Name:NABIL
Middle Name:I
Last Name:EL SAYAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 PASEO DE LA CONCHA
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-6285
Mailing Address - Country:US
Mailing Address - Phone:310-325-0600
Mailing Address - Fax:310-325-0346
Practice Address - Street 1:24845 NARBONNE AVE
Practice Address - Street 2:
Practice Address - City:LOMITA
Practice Address - State:CA
Practice Address - Zip Code:90717-1549
Practice Address - Country:US
Practice Address - Phone:310-325-0600
Practice Address - Fax:310-325-0346
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA41141207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0049330Medicaid
CAA85572Medicare UPIN
CAGR0049330Medicaid