Provider Demographics
NPI:1316206501
Name:PY SADDLER, M.D., F.A.C.P., INC
Entity Type:Organization
Organization Name:PY SADDLER, M.D., F.A.C.P., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULETTE
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:SADDLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-405-1034
Mailing Address - Street 1:1437 SAN MARINO AVE
Mailing Address - Street 2:
Mailing Address - City:SAN MARINO
Mailing Address - State:CA
Mailing Address - Zip Code:91108-2027
Mailing Address - Country:US
Mailing Address - Phone:626-405-1034
Mailing Address - Fax:626-405-1036
Practice Address - Street 1:1437 SAN MARINO AVE
Practice Address - Street 2:
Practice Address - City:SAN MARINO
Practice Address - State:CA
Practice Address - Zip Code:91108-2027
Practice Address - Country:US
Practice Address - Phone:626-405-1034
Practice Address - Fax:626-405-1036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-09
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG59264207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty