Provider Demographics
NPI:1649259912
Name:SAEDLER, PAULINE KNIGHT (PA-C)
Entity type:Individual
Prefix:
First Name:PAULINE
Middle Name:KNIGHT
Last Name:SAEDLER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:PAULINE
Other - Middle Name:
Other - Last Name:KNIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1125 E 17TH STREET
Mailing Address - Street 2:W-248
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701
Mailing Address - Country:US
Mailing Address - Phone:714-547-5151
Mailing Address - Fax:714-541-2016
Practice Address - Street 1:1125 E 17TH STREET
Practice Address - Street 2:W 248
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701
Practice Address - Country:US
Practice Address - Phone:714-547-5151
Practice Address - Fax:714-541-2016
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA17030363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant