Provider Demographics
NPI:1295065134
Name:SALDANA, LUIS ANDRES (DC)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:ANDRES
Last Name:SALDANA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15888 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-3452
Mailing Address - Country:US
Mailing Address - Phone:760-617-5621
Mailing Address - Fax:
Practice Address - Street 1:15888 MAIN ST
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-3452
Practice Address - Country:US
Practice Address - Phone:760-617-5621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-26
Last Update Date:2009-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-31380111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor