Healthcare Provider Details

I. General information

NPI: 1558099770
Provider Name (Legal Business Name): MICHAEL JOHN SAUERBREY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2022
Last Update Date: 05/03/2023
Certification Date: 05/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 W METROPOLITAN DR STE 401
ORANGE CA
92868-3506
US

IV. Provider business mailing address

801 PARKCENTER DR STE 235
SANTA ANA CA
92705-3588
US

V. Phone/Fax

Practice location:
  • Phone: 714-954-2968
  • Fax:
Mailing address:
  • Phone: 714-948-7970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: