Individual
SAEED NICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16702 VALLEY VIEW AVE, LA MIRADA, CA 90638-5824
(562) 921-0341
Mailing address
16702 VALLEY VIEW AVE, LA MIRADA, CA 90638-5824
(562) 921-0341
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
205846
LA
2084N0400X
Neurology Physician
60619-20
WI
2084N0400X
Neurology Physician
A123357
CA
208VP0014X
Interventional Pain Medicine Physician
60619-20
WI
208VP0014X
Interventional Pain Medicine Physician
Primary
A123357
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1062413
—
LA
01
—
266682YH54
MEDICARE - PTAN
LA
Enumeration date
05/16/2008
Last updated
07/16/2015
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