| Saucedo Detal Corporation | |
|
180 E Mission Blvd Ste A Pomona CA 91766-1843 | |
| (909) 623-5278 | |
| (909) 623-5270 |
| Full Name | Saucedo Detal Corporation |
|---|---|
| Speciality | Clinic/center |
| Location | 180 E Mission Blvd Ste A, Pomona, California |
| Authorized Official Name and Position | Sergio P Saucedo (CEO) |
| Authorized Official Contact | 9096235278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saucedo Detal Corporation 180 E Mission Blvd Ste A Pomona CA 91766-1843 Ph: (909) 623-5278 | Saucedo Detal Corporation 180 E Mission Blvd Ste A Pomona CA 91766-1843 Ph: (909) 623-5278 |
| NPI Number | 1578854246 |
|---|---|
| Provider Enumeration Date | 04/28/2011 |
| Last Update Date | 04/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578854246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 56687 (California) | Primary |
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