Provider Demographics
NPI:1851758015
Name:HUMBERTO SAURI, MD INCORPORATED
Entity Type:Organization
Organization Name:HUMBERTO SAURI, MD INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HUMBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:SAURI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-354-1182
Mailing Address - Street 1:999 N TUSTTIN AVE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-6504
Mailing Address - Country:US
Mailing Address - Phone:714-954-1185
Mailing Address - Fax:714-953-3425
Practice Address - Street 1:999 N TUSTIN AVE
Practice Address - Street 2:SUITE 109
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-6504
Practice Address - Country:US
Practice Address - Phone:714-954-1182
Practice Address - Fax:714-953-3425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-19
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG78049146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1144212309Medicare PIN