Healthcare Provider Details

I. General information

NPI: 1427987510
Provider Name (Legal Business Name): ANTONI SAATLOU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2625 STONE MEADOW RD
TURLOCK CA
95382-8148
US

IV. Provider business mailing address

2625 STONE MEADOW RD
TURLOCK CA
95382-8148
US

V. Phone/Fax

Practice location:
  • Phone: 209-605-8683
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN95040031
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: