Provider Demographics
NPI:1487026621
Name:ANGELICA MARIA SAUCEDA
Entity Type:Organization
Organization Name:ANGELICA MARIA SAUCEDA
Other - Org Name:GOOD DAY WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUCEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-484-1133
Mailing Address - Street 1:1729 DEL REY ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695-5401
Mailing Address - Country:US
Mailing Address - Phone:626-484-1133
Mailing Address - Fax:
Practice Address - Street 1:617 G ST
Practice Address - Street 2:SUITE A1
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-3702
Practice Address - Country:US
Practice Address - Phone:626-484-1133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA67397225700000X
OR20816225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty