MEDICARE: L. MAYELA SAENZ, M.D., INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	A56461	CA

General Provider Information

NPI Number	:	1124296496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L. MAYELA SAENZ, M.D., INC

Provider Business Mailing Address
First Line	:	1203 N EUCLID ST
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92801-1954
Country	:	US
Telephone Number	:	714-224-3388
Fax Number	:	714-224-3378

Provider Business Practice Location Address
First Line	:	1203 N EUCLID ST
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92801-1954
Country	:	US
Telephone Number	:	714-224-3388
Fax Number	:	714-224-3378

Authorized Official
Title or Position	:	DOCTOR
Name	:	LUCY MAYELA SAENZ
Credential	:	M.D.
Telephone Number	:	714-224-3388

Provider Enumeration Date	:	02/20/2008
Last Update Date	:	02/20/2008

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