Provider Demographics
NPI:1295320539
Name:SAECHAO, ANGIE MAY
Entity type:Individual
Prefix:
First Name:ANGIE
Middle Name:MAY
Last Name:SAECHAO
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 1:20433 JOHN DR APT 12
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-3945
Mailing Address - Country:US
Mailing Address - Phone:510-500-7838
Mailing Address - Fax:
Practice Address - Street 1:20433 JOHN DR APT 12
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-3945
Practice Address - Country:US
Practice Address - Phone:510-500-7838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other