Healthcare Provider Details

I. General information

NPI: 1386866093
Provider Name (Legal Business Name): SATURNINA L. MERCADO, MD., INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 10/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10230 ARTESIA BLVD SUITE-207
BELLFLOWER CA
90706-6763
US

IV. Provider business mailing address

10230 ARTESIA BLVD SUITE-207
BELLFLOWER CA
90706-6763
US

V. Phone/Fax

Practice location:
  • Phone: 562-863-3474
  • Fax: 562-866-7050
Mailing address:
  • Phone: 562-863-3474
  • Fax: 562-866-7050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC39446
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberC39446
License Number StateCA

VIII. Authorized Official

Name: DR. SATURNINA L. MERCADO
Title or Position: M.D.
Credential: M.D.
Phone: 562-863-3474