Basic Information
Provider Information
NPI: 1043576457
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAYER
FirstName: GREGORY
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 760 WESTWOOD PLZ
Address2: C8-193
City: LOS ANGELES
State: CA
PostalCode: 900245055
CountryCode: US
TelephoneNumber:  
FaxNumber: 8889812280
Practice Location
Address1: 760 WESTWOOD PLZ
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900245055
CountryCode: US
TelephoneNumber: 3108250018
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/10/2012
LastUpdateDate: 02/04/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XA129550CAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
174400000X  N Other Service ProvidersSpecialist 

No ID Information.


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