Provider Demographics
NPI:1841495538
Name:ZAHEDY-KAPUSTA, SEPIDEH (MD)
Entity type:Individual
Prefix:
First Name:SEPIDEH
Middle Name:
Last Name:ZAHEDY-KAPUSTA
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 1:17125 SWEETBAY CT..
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-0000
Mailing Address - Country:US
Mailing Address - Phone:714-369-8659
Mailing Address - Fax:714-534-5938
Practice Address - Street 1:2094 W LA HABRA BLVD
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-5007
Practice Address - Country:US
Practice Address - Phone:562-697-1001
Practice Address - Fax:562-697-1002
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA99099207R00000X, 207VG0400X, 207VH0002X, 207VX0201X, 207VM0101X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207VH0002XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyHospice and Palliative Medicine
No207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
No207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA99099OtherMEDICAL LICENSE
CA0589954-7OtherEFMG