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SAUCEDO DETAL CORPORATION NPI 1578854246


NPI Information

NPI: 1578854246
Provider Name: SAUCEDO DETAL CORPORATION
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
180 E MISSION BLVD STE A
POMONA, CA
ZIP 91766
Phone: (909) 623-5278
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SAUCEDO DETAL CORPORATION is a clinic center in Pomona, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SAUCEDO DETAL CORPORATION NPI is 1578854246. The provider is registered as an organization entity type.

The provider's business location address is:

180 E MISSION BLVD STE A
POMONA, CA
ZIP 91766-843
Phone: (909) 623-5278
Fax: (909) 623-5270

The provider's authorized official is Sergio P Saucedo .
The authorized official title is Ceo and has the following contact phone number (909) 623-5278.

The enumeration date for this NPI number is 4/28/2011 and was last updated on 4/28/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center56687CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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