Organization
SACH PHYSICIAN BILLING TRUST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOURDES TRIGUEROS (TRUSTEE)
(909) 484-2865
Entity
Organization
Contact information
Practice address
999 SAN BERNARDINO RD, UPLAND, CA 91786-4920
(909) 484-2865
(909) 941-6974
Mailing address
8816 FOOTHILL BLVD, SUITE 103-322, RANCHO CUCAMONGA, CA 91730-7199
(909) 484-2865
(909) 941-6974
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ5184Z
BLUE SHIELD GROUP NUMBER
CA
Enumeration date
08/21/2006
Last updated
02/28/2024
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