Provider Demographics
NPI:1831195221
Name:SAENZ, ROY L (MD)
Entity type:Individual
Prefix:DR
First Name:ROY
Middle Name:L
Last Name:SAENZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:931 BUENA VISTA ST STE 205
Mailing Address - Street 2:STE 205
Mailing Address - City:DUARTE
Mailing Address - State:CA
Mailing Address - Zip Code:91010-1713
Mailing Address - Country:US
Mailing Address - Phone:626-358-1897
Mailing Address - Fax:626-301-0937
Practice Address - Street 1:931 BUENA VISTA ST
Practice Address - Street 2:STE 205
Practice Address - City:DUARTE
Practice Address - State:CA
Practice Address - Zip Code:91010-1713
Practice Address - Country:US
Practice Address - Phone:626-358-1897
Practice Address - Fax:626-301-0937
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2012-11-27
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Provider Licenses
StateLicense IDTaxonomies
CAG53517207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACLR00301307OtherCLIA NUMBER
CACLR00301307OtherCLIA NUMBER