Provider Demographics
NPI:1093799926
Name:SAITO, ROBB (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBB
Middle Name:
Last Name:SAITO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1188 N EUCLID AVENUE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801
Mailing Address - Country:US
Mailing Address - Phone:714-254-2833
Mailing Address - Fax:714-254-2974
Practice Address - Street 1:1188 N EUCLID AVENUE
Practice Address - Street 2:SUITE 500
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801
Practice Address - Country:US
Practice Address - Phone:714-254-2833
Practice Address - Fax:714-254-2974
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-05
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA67093174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI107383Medicare UPIN