SAUCEDO DETAL CORPORATION (NPI# 1578854246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578854246 |
| Entity Type | Organization |
| Organization Name | SAUCEDO DETAL CORPORATION |
| Practice Address |
180 E Mission Blvd Ste A Pomona CA 91766-1843 |
| Practice Telephone | 9096235278 |
| Practice Fax Number | 9096235270 |
| Mailing Telephone | 9096235278 |
| Mailing Fax Number | 9096235270 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |
| Authorized Official Name | DR. SERGIO P SAUCEDO (CEO) |
| Authorized Official Telephone | 9096235278 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 56687 | CA | Ambulatory Health Care Facilities |
| Street Address |
180 E MISSION BLVD STE A |
| City | POMONA |
| State | CA |
| Zip Code | 91766-1843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982058855 | Armen Mardirosian Dds Inc. | Clinic/Center | 180 E Mission Blvd Ste A, Pomona, CA 91766-1843 | 2016-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999494 | Justine Arce | Massage Therapist | 2063 Rancho Valley Drive Suite 320 #208, Pomona, CA 91766 | 2020-10-15 |
| 1699287938 | Monika Stephanie Wan | Pharmacist | 710 Rio Rancho Road, Pomona, CA 91766 | 2017-10-26 |
| 1306386966 | Teresa Le | Dentist | 1898 Wright St, Pomona, CA 91766 | 2017-03-02 |
| 1770971715 | Hanzel Mendez | Physical Therapist | 1080 Verbena Court, Pomona, CA 91766 | 2014-12-29 |
| 1902223589 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3 Cottontail Dr, Pomona, CA 91766 | 2014-03-21 |
| 1487075578 | Fenix Health Medical Group, Inc. | Family Medicine | 716 East Mission Blvd., Pomona, CA 91766 | 2013-12-17 |
| 1134556012 | Imperial Hospice, Inc. | Hospice Care, Community Based | 363 S Park Ave Ste 105, Pomona, CA 91766 | 2013-10-08 |
| 1497196349 | Cohen Sedgh, Manavi & Pakravan Dental Corporation | Dentist | 763 Rio Rancho Road Suite120, Pomona, CA 91766 | 2013-07-08 |
| 1245573567 | Terry Chang | Acupuncturist | 3060 W. Temple Ave., Pomona, CA 91766 | 2013-04-04 |
| 1215271085 | Emmanuel Castro | Counselor | 4 Village Loop, Phillips Ranch, CA 91766 | 2012-11-19 |
| Find all providers in zip 91766 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548647993 | Global Health Education and Information Services Inc. | Clinic/Center | 2284-2286 S Garey Ave, Pomona, CA 91766-5645 | 2015-05-05 |
| 1619114899 | Pooyandeh Chiropractic, Inc. | Clinic/Center | 502 W Holt Ave, Pomona, CA 91768-3604 | 2009-01-09 |
| 1538340021 | Rizzi Chiropractic Center Inc. | Clinic/Center | 355 E Foothill Blvd Ste B, Pomona, CA 91767-1471 | 2007-11-26 |
| 1891707006 | Prestige Medical Management | Clinic/Center | 1980 N Orange Grove Ave, Pomona, CA 91767-3008 | 2006-08-13 |
| 1649747817 | American Current Care of California, A Medical Corporation | Clinic/Center | 801 Corporate Center Dr Ste 130, Pomona, CA 91768-2639 | 2018-10-25 |
| 1093171506 | Anabi Medical | Clinic/Center | 160 E Artesia St Ste 225, Pomona, CA 91767-2925 | 2016-01-13 |
| 1306262282 | Salus Medical Services, Inc. | Clinic/Center | 1980 N Orange Grove Ave, Pomona, CA 91767-3008 | 2014-03-14 |
| 1275897878 | Jason H. Shin, Md, Inc., A Professional Medical Corporation | Clinic/Center | 250 W Bonita Ave, Suite 250, Pomona, CA 91767-1863 | 2012-06-28 |
| 1588839625 | Niranjan G Trivedi M D P C | Clinic/Center | 208 West White Horse Pike, Pomona, NJ 08240 | 2008-04-29 |
| 1235321340 | Coastal Obstetrics & Gynecology Associates Pa | Clinic/Center | 72 W Jim Leeds Rd, Suite 2500 Stockton Medical Building, Pomona, NJ 08240-0836 | 2007-08-13 |
| Find all providers in POMONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.