Provider Demographics
NPI:1730854779
Name:SALDANA, ANGEL DANIEL
Entity type:Individual
Prefix:
First Name:ANGEL
Middle Name:DANIEL
Last Name:SALDANA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44275 SANCROFT AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93535-3713
Mailing Address - Country:US
Mailing Address - Phone:661-523-5408
Mailing Address - Fax:
Practice Address - Street 1:44275 SANCROFT AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93535-3713
Practice Address - Country:US
Practice Address - Phone:661-523-5408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician