Provider Demographics
NPI:1043675697
Name:SAEEDA, FERESHTEH (DC)
Entity type:Individual
Prefix:
First Name:FERESHTEH
Middle Name:
Last Name:SAEEDA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 E MAIN ST STE 106
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-4459
Mailing Address - Country:US
Mailing Address - Phone:714-505-1901
Mailing Address - Fax:714-884-3391
Practice Address - Street 1:180 E MAIN ST SUITE 106
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780
Practice Address - Country:US
Practice Address - Phone:714-505-1901
Practice Address - Fax:714-884-3391
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-28
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33325111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor