Healthcare Provider Details

I. General information

NPI: 1720194129
Provider Name (Legal Business Name): SACH PHYSICIAN BILLING TRUST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 02/28/2024
Certification Date: 02/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 SAN BERNARDINO RD
UPLAND CA
91786-4920
US

IV. Provider business mailing address

8816 FOOTHILL BLVD SUITE 103-322
RANCHO CUCAMONGA CA
91730-7199
US

V. Phone/Fax

Practice location:
  • Phone: 909-484-2865
  • Fax: 909-941-6974
Mailing address:
  • Phone: 909-484-2865
  • Fax: 909-941-6974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: LOURDES TRIGUEROS
Title or Position: TRUSTEE
Credential:
Phone: 909-484-2865