Basic Information
| Provider Information | |||||||||
| NPI: | 1184001216 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAYEGH | ||||||||
| FirstName: | ELI | ||||||||
| MiddleName: | T | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 341 MAGNOLIA AVE STE 101 | ||||||||
| Address2: | |||||||||
| City: | CORONA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928793331 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9517356060 | ||||||||
| FaxNumber: | 9517354510 | ||||||||
| Practice Location | |||||||||
| Address1: | 341 MAGNOLIA AVE STE 101 | ||||||||
| Address2: | |||||||||
| City: | CORONA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928793331 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9517356060 | ||||||||
| FaxNumber: | 9517354510 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/27/2015 | ||||||||
| LastUpdateDate: | 01/16/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/16/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 283349 | MA | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207X00000X | A173180 | CA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.