MEDICARE: BRUCE M SAAL

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	207N00000X	Dermatology Physician

General Provider Information

NPI Number	:	1952251563
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRUCE M SAAL

Provider Business Mailing Address
First Line	:	777 KNOWLES DR STE 16
Second Line	:
City	:	LOS GATOS
State	:	CA
Zip	:	95032-1448
Country	:	US
Telephone Number	:	408-374-1320
Fax Number	:

Provider Business Practice Location Address
First Line	:	777 KNOWLES DR STE 16
Second Line	:
City	:	LOS GATOS
State	:	CA
Zip	:	95032-1448
Country	:	US
Telephone Number	:	408-374-1320
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	NICOLE MELLIN
Credential	:
Telephone Number	:	408-374-1230

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “BRUCE M SAAL ” Practice Location

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