Provider Demographics
NPI:1801976253
Name:SUNIL K. SAINI M.D.,INC.
Entity type:Organization
Organization Name:SUNIL K. SAINI M.D.,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-447-0882
Mailing Address - Street 1:1042 N MOUNTAIN AVE STE B-399
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-3695
Mailing Address - Country:US
Mailing Address - Phone:949-447-0882
Mailing Address - Fax:
Practice Address - Street 1:600 N MOUNTAIN AVE STE B100
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4359
Practice Address - Country:US
Practice Address - Phone:909-931-7947
Practice Address - Fax:909-931-1771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG83756174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1386648715OtherTYPE-1 NPI
CA1386648715OtherTYPE-1 NPI
CAZZZ29590ZMedicare ID - Type Unspecified