1801957154 NPI number — MS. ZENAIDA GUERRERO SARSADIAS N.P.

Table of content: MS. ZENAIDA GUERRERO SARSADIAS N.P. (NPI 1801957154)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801957154 NPI number — MS. ZENAIDA GUERRERO SARSADIAS N.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SARSADIAS
Provider First Name:
ZENAIDA
Provider Middle Name:
GUERRERO
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
N.P.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801957154
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1245 WILSHIRE BLVD
Provider Second Line Business Mailing Address:
STE 703
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90017-4807
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
213-977-7422
Provider Business Mailing Address Fax Number:
213-250-8945

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
399 E HIGHLAND AVE
Provider Second Line Business Practice Location Address:
STE 424
Provider Business Practice Location Address City Name:
SAN BERNARDINO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92404-3870
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-883-5315
Provider Business Practice Location Address Fax Number:
909-883-5399
Provider Enumeration Date:
12/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  NP10074 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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