Provider Demographics
NPI:1770701856
Name:SALDANA, ALEJANDRO AGUSTINE
Entity type:Individual
Prefix:MR
First Name:ALEJANDRO
Middle Name:AGUSTINE
Last Name:SALDANA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14015 ZIRCON ST
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92344-4608
Mailing Address - Country:US
Mailing Address - Phone:323-450-6147
Mailing Address - Fax:
Practice Address - Street 1:12120 CHANDLER BLVD
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-2002
Practice Address - Country:US
Practice Address - Phone:818-478-0770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)