MEDICARE: PRIYA SAXENA

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	207Q00000X	Family Medicine Physician	15129	CA

General Provider Information

NPI Number	:	1962946673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRIYA SAXENA

Provider Business Mailing Address
First Line	:	801 S CHEVY CHASE DR STE 203
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-4435
Country	:	US
Telephone Number	:	818-500-5586
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 S CHEVY CHASE DR STE 203
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-4435
Country	:	US
Telephone Number	:	818-500-5586
Fax Number	:

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

Provider Enumeration Date	:	12/14/2016
Last Update Date	:	11/23/2021

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Directions to “ PRIYA SAXENA ” Practice Location

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