Provider Demographics
NPI:1386866093
Name:SATURNINA L. MERCADO, MD., INC
Entity Type:Organization
Organization Name:SATURNINA L. MERCADO, MD., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:SATURNINA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MERCADO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-863-3474
Mailing Address - Street 1:10230 ARTESIA BLVD
Mailing Address - Street 2:SUITE-207
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-6763
Mailing Address - Country:US
Mailing Address - Phone:562-863-3474
Mailing Address - Fax:562-866-7050
Practice Address - Street 1:10230 ARTESIA BLVD
Practice Address - Street 2:SUITE-207
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-6763
Practice Address - Country:US
Practice Address - Phone:562-863-3474
Practice Address - Fax:562-866-7050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC39446207Q00000X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C394460Medicaid
B50728Medicare UPIN
CA00C394460Medicaid