Provider Demographics
NPI:1982904835
Name:DENNIS SARABI MD INC
Entity Type:Organization
Organization Name:DENNIS SARABI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:SARABI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-706-1114
Mailing Address - Street 1:PO BOX 1155
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92659-0155
Mailing Address - Country:US
Mailing Address - Phone:949-706-1114
Mailing Address - Fax:949-706-8490
Practice Address - Street 1:400 NEWPORT CENTER DR
Practice Address - Street 2:SUITE 610
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7601
Practice Address - Country:US
Practice Address - Phone:949-706-1114
Practice Address - Fax:949-706-3286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-26
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA106259207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty