Provider Demographics
NPI:1679299960
Name:SAENZ, SALVADOR HENRY
Entity type:Individual
Prefix:
First Name:SALVADOR
Middle Name:HENRY
Last Name:SAENZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 E HACKETT RD
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95358-9800
Mailing Address - Country:US
Mailing Address - Phone:209-558-2352
Mailing Address - Fax:209-558-3962
Practice Address - Street 1:1904 RICHLAND AVE
Practice Address - Street 2:
Practice Address - City:CERES
Practice Address - State:CA
Practice Address - Zip Code:95307-4562
Practice Address - Country:US
Practice Address - Phone:209-584-6005
Practice Address - Fax:209-541-2549
Is Sole Proprietor?:No
Enumeration Date:2022-10-18
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator