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NPI Code Detail

MEDICARE: LUIS F. SACA MD

MEDICARE:   LUIS F. SACA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207KA0200XAllergy PhysicianA44367CA

General Provider Information

NPI Number : 1538236450
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS F. SACA MD
Provider Business Mailing Address
First Line : 9961 SIERRA AVE
Second Line :
City : FONTANA
State : CA
Zip : 92335-6720
Country : US
Telephone Number : 909-427-3910
Fax Number :
Provider Business Practice Location Address
First Line : 11234 ANDERSON ST # MC-1516
Second Line :
City : LOMA LINDA
State : CA
Zip : 92350-1716
Country : US
Telephone Number : 909-558-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 08/20/2025

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