Healthcare Provider Details

I. General information

NPI: 1588755326
Provider Name (Legal Business Name): U.S. HEALTHWORKS MEDICAL GROUP -SAUGUS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 01/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22840 SOLEDAD CANYON ROAD
SAUGUS CA
91350
US

IV. Provider business mailing address

22840 SOLEDAD CANYON ROAD
SAUGUS CA
91350
US

V. Phone/Fax

Practice location:
  • Phone: 661-799-1776
  • Fax: 661-799-1775
Mailing address:
  • Phone: 661-799-1776
  • Fax: 661-799-1775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SHERI ALLEY
Title or Position: CREDENTIALING COORDINATOR
Credential:
Phone: 858-565-1300