Saucedo, Jesus
Saucedo, Jesus is an individual health care provider with primary practice located at 577 Airport Blvd Ste 300, Burlingame CA 94010-2020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Saucedo, Jesus can be contacted via phone (650) 240-8122.Contact Information
Primary practice address
577 Airport Blvd Ste 300
Burlingame CA 94010-2020
Phone: (650) 240-8122
Fax: (408) 328-5695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A56099 | California |
Profile Details
| NPI number | 1265478424 |
|---|---|
| LBN Legal business name | Saucedo, Jesus |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Oct 3rd, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265478424 | NPPES |
| California | MEDICAID | 00A560990 |
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