Provider Demographics
NPI:1942358544
Name:CHONA M. AUSTRIA-SAGANA, D.M.D., INC.
Entity Type:Organization
Organization Name:CHONA M. AUSTRIA-SAGANA, D.M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHONA
Authorized Official - Middle Name:MARTINEZ
Authorized Official - Last Name:AUSTRIA-SAGANA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:619-267-2378
Mailing Address - Street 1:2720 EAST PLAZA BLVD.
Mailing Address - Street 2:SUITE V
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-4004
Mailing Address - Country:US
Mailing Address - Phone:619-267-2378
Mailing Address - Fax:619-475-5052
Practice Address - Street 1:2720 EAST PLAZA BLVD.
Practice Address - Street 2:SUITE V
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-4004
Practice Address - Country:US
Practice Address - Phone:619-267-2378
Practice Address - Fax:619-475-5052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA370781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA778532OtherUNITED CONCORDIA
CA37078CAOtherDELTA DENTAL
CAB37078-01OtherDENTI-CAL