Provider Demographics
NPI:1477717155
Name:SAYNO, JEANETTE HONCULADA
Entity Type:Individual
Prefix:MS
First Name:JEANETTE
Middle Name:HONCULADA
Last Name:SAYNO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 N PARK VIEW ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-5215
Mailing Address - Country:US
Mailing Address - Phone:213-483-9804
Mailing Address - Fax:213-487-9806
Practice Address - Street 1:135 N PARK VIEW ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-5215
Practice Address - Country:US
Practice Address - Phone:213-483-9804
Practice Address - Fax:213-487-9806
Is Sole Proprietor?:No
Enumeration Date:2008-07-11
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker