Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0120X | Pediatric Surgery | 199451 | NY |
N | 2086S0120X | Pediatric Surgery | 25MA10889900 | NJ |
Y | 2086S0120X | Pediatric Surgery | G84775 | CA |
NPI | 1447321203 |
---|---|
Provider Name | Nicholas Christopher Saenz |
First Address | San Diego, CA 92123-4223 |
Second Address | San Diego, CA 92123-4232 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 29/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G847750 | (05) | CA |