Provider Demographics
NPI:1861652315
Name:ROY SAENZ, M.D.
Entity Type:Organization
Organization Name:ROY SAENZ, M.D.
Other - Org Name:FOOTHILL PRIMARY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAENZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-358-1897
Mailing Address - Street 1:931 BUENA VISTA ST
Mailing Address - Street 2:STE. 205
Mailing Address - City:DUARTE
Mailing Address - State:CA
Mailing Address - Zip Code:91010-1712
Mailing Address - Country:US
Mailing Address - Phone:626-358-1897
Mailing Address - Fax:626-301-0937
Practice Address - Street 1:931 BUENA VISTA ST
Practice Address - Street 2:STE. 205
Practice Address - City:DUARTE
Practice Address - State:CA
Practice Address - Zip Code:91010-1712
Practice Address - Country:US
Practice Address - Phone:626-358-1897
Practice Address - Fax:626-301-0937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG53517261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA93232Medicare UPIN