MEDICARE: DR. JAYJAY SAPIGAO DMD

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	122300000X	Dentist	101797	CA

General Provider Information

NPI Number	:	1134644842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAYJAY SAPIGAO DMD

Provider Business Mailing Address
First Line	:	31280 BOB HOPE DR STE 102
Second Line	:
City	:	CATHEDRAL CITY
State	:	CA
Zip	:	92276-1105
Country	:	US
Telephone Number	:	760-422-3888
Fax Number	:	760-422-3889

Provider Business Practice Location Address
First Line	:	31280 BOB HOPE DR STE 102
Second Line	:
City	:	CATHEDRAL CITY
State	:	CA
Zip	:	92276-1105
Country	:	US
Telephone Number	:	760-422-3888
Fax Number	:	760-422-3889

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2017
Last Update Date	:	09/28/2021

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