Healthcare Provider Details

I. General information

NPI: 1083973283
Provider Name (Legal Business Name): REBECCA MIA SAUER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2012
Last Update Date: 05/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 CITY BLVD W STE 1400
ORANGE CA
92868-5900
US

IV. Provider business mailing address

6405 E LOOKOUT LN
ANAHEIM CA
92807-4827
US

V. Phone/Fax

Practice location:
  • Phone: 714-456-2911
  • Fax:
Mailing address:
  • Phone: 714-270-0554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA128521
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: