Provider Demographics
NPI:1174945851
Name:SAAVEDRA, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:SAAVEDRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1390 MARKET ST STE 410
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-5406
Mailing Address - Country:US
Mailing Address - Phone:415-252-3846
Mailing Address - Fax:415-252-3889
Practice Address - Street 1:1390 MARKET ST STE 410
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-5406
Practice Address - Country:US
Practice Address - Phone:415-252-3846
Practice Address - Fax:415-252-3889
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-14
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20648174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist