Provider Demographics
NPI:1720194129
Name:SACH PHYSICIAN BILLING TRUST
Entity Type:Organization
Organization Name:SACH PHYSICIAN BILLING TRUST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRUSTEE
Authorized Official - Prefix:
Authorized Official - First Name:LOURDES
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIGUEROS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-484-2865
Mailing Address - Street 1:8816 FOOTHILL BLVD
Mailing Address - Street 2:SUITE 103-322
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-7199
Mailing Address - Country:US
Mailing Address - Phone:909-484-2865
Mailing Address - Fax:909-941-6974
Practice Address - Street 1:999 SAN BERNARDINO RD
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4920
Practice Address - Country:US
Practice Address - Phone:909-484-2865
Practice Address - Fax:909-941-6974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ5184ZOtherBLUE SHIELD GROUP NUMBER
CAZZZ5184ZOtherBLUE SHIELD GROUP NUMBER