Healthcare Provider Details

I. General information

NPI: 1366935264
Provider Name (Legal Business Name): HECTOR ALAN SAAVEDRA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2018
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10630 TOWN CENTER DR STE 105
RANCHO CUCAMONGA CA
91730-6806
US

IV. Provider business mailing address

3100 CHINO HILLS PKWY UNIT 336
CHINO HILLS CA
91709-4284
US

V. Phone/Fax

Practice location:
  • Phone: 323-793-6217
  • Fax:
Mailing address:
  • Phone: 323-793-6217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT132171
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: