Provider Demographics
NPI:1417197997
Name:SAETRUM OPGAARD MD INC
Entity Type:Organization
Organization Name:SAETRUM OPGAARD MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLE
Authorized Official - Middle Name:SAETRUM
Authorized Official - Last Name:OPGAARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-228-6387
Mailing Address - Street 1:PO BOX 12259
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92685-2259
Mailing Address - Country:US
Mailing Address - Phone:949-228-6387
Mailing Address - Fax:714-786-5799
Practice Address - Street 1:9191 WESTMINSTER AVE STE 207
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92844-2751
Practice Address - Country:US
Practice Address - Phone:714-786-5794
Practice Address - Fax:714-786-5799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-24
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty