Basic Information
Provider Information
NPI: 1144365149
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAUNDERS
FirstName: BARBARA
MiddleName: JEAN
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5220 SANCHEZ DR
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900081117
CountryCode: US
TelephoneNumber: 3109905717
FaxNumber: 3232920214
Practice Location
Address1: 3208 ROSEMEAD BLVD
Address2: SUITE 100
City: EL MONTE
State: CA
PostalCode: 917312830
CountryCode: US
TelephoneNumber: 6262277001
FaxNumber: 6262277002
Other Information
ProviderEnumerationDate: 02/20/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XC36869CAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


Home