Individual
DR. EDNA R SAYAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7777 MILLIKEN AVE STE 360, RANCHO CUCAMONGA, CA 91730-6782
(909) 944-7099
(909) 944-4865
Mailing address
7777 MILLIKEN AVE STE 360, RANCHO CUCAMONGA, CA 91730-6782
(909) 944-7099
(909) 944-4865
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C53302
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061279
BLUE CROSS PROVIDER ID
ME
05
—
427610000
—
ME
Enumeration date
10/25/2005
Last updated
03/15/2016
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