Provider Demographics
NPI:1700141298
Name:SAORINO, COLETTE CHAPFIELD
Entity Type:Individual
Prefix:MS
First Name:COLETTE
Middle Name:CHAPFIELD
Last Name:SAORINO
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:COLETTE
Other - Middle Name:MARIE
Other - Last Name:LEPORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2755 ARROW HWY SPC 92
Mailing Address - Street 2:
Mailing Address - City:LA VERNE
Mailing Address - State:CA
Mailing Address - Zip Code:91750-5625
Mailing Address - Country:US
Mailing Address - Phone:909-634-1056
Mailing Address - Fax:
Practice Address - Street 1:1460 E HOLT AVE STE 166
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-5852
Practice Address - Country:US
Practice Address - Phone:909-865-0173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker