Doctor Name: | TOMAS SAUCEDO |
NPI Number: | 1104872787 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G45202 |
Business Practice Address: | 880 S Atlantic Blvd Suite 205 Monterey Park, CA - 917544700 |
Business Phone Number: | 6262890178 |
Business Fax Number: | 6263082083 |
Mailing Address: | 880 S Atlantic Blvd, Suite 205 MONTEREY PARK |
State: | CA |
Postal Code: | 917544700 |
Phone Number: | 6262890178 |
Fax Number: | 6263082083 |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | G45202 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |