Basic Information
Provider Information
NPI: 1083973283
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAUER
FirstName: REBECCA
MiddleName: MIA
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6405 E LOOKOUT LN
Address2:  
City: ANAHEIM
State: CA
PostalCode: 928074827
CountryCode: US
TelephoneNumber: 7142700554
FaxNumber:  
Practice Location
Address1: 333 CITY BLVD W STE 1400
Address2:  
City: ORANGE
State: CA
PostalCode: 928685900
CountryCode: US
TelephoneNumber: 7144562911
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/08/2012
LastUpdateDate: 05/03/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XA128521CAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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