Healthcare Provider Details

I. General information

NPI: 1114814480
Provider Name (Legal Business Name): SASKIA PECHANIC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SASKIA CARR

II. Dates (important events)

Enumeration Date: 06/19/2025
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1968 S COAST HWY STE 1390
LAGUNA BEACH CA
92651-3681
US

IV. Provider business mailing address

108 TINKER WAY
NOVATO CA
94949-6447
US

V. Phone/Fax

Practice location:
  • Phone: 800-430-4490
  • Fax:
Mailing address:
  • Phone: 415-720-7647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: