Provider Demographics
NPI:1801967591
Name:SAUPE-PINTO, SHERYL A (DC)
Entity type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:A
Last Name:SAUPE-PINTO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:SHERYL
Other - Middle Name:ANN
Other - Last Name:SAUPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 11766
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92711-1766
Mailing Address - Country:US
Mailing Address - Phone:714-505-1901
Mailing Address - Fax:714-505-4850
Practice Address - Street 1:180 E MAIN ST
Practice Address - Street 2:SUITE 106
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-4489
Practice Address - Country:US
Practice Address - Phone:714-505-1901
Practice Address - Fax:714-505-4850
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28327111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor