Provider Demographics
NPI:1356489629
Name:FARIBORZ DAVID SATEY M.D., INC.
Entity type:Organization
Organization Name:FARIBORZ DAVID SATEY M.D., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FARIBORZ
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SATEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-272-5656
Mailing Address - Street 1:627 W AVENUE Q
Mailing Address - Street 2:SUITE D
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-3891
Mailing Address - Country:US
Mailing Address - Phone:661-272-5656
Mailing Address - Fax:661-272-0909
Practice Address - Street 1:627 W AVENUE Q
Practice Address - Street 2:SUITE D
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-3891
Practice Address - Country:US
Practice Address - Phone:661-272-5656
Practice Address - Fax:661-272-0909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty