Provider Demographics
NPI:1780446195
Name:HABIBI, SAAMAN
Entity type:Individual
Prefix:DR
First Name:SAAMAN
Middle Name:
Last Name:HABIBI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27271 DELEMOS
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-3247
Mailing Address - Country:US
Mailing Address - Phone:949-632-4369
Mailing Address - Fax:
Practice Address - Street 1:27271 DELEMOS
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-3247
Practice Address - Country:US
Practice Address - Phone:949-632-4369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA88110183500000X
IDPI0863183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist