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Christopher J. Saucedo

Emergency Medicine

Allopathic & Osteopathic Physicians

10666 N Torrey Pines Rd, La Jolla, CA 92037-1027

PECOS Enrollment

This provider is enrolled in PECOS as CHRISTOPHER SAUCEDO.

Based on the most recent information from CMS, provider Christopher J. Saucedo is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1750347969
Provider Type
Individual
Full Name
Saucedo, Christopher J.
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
4/25/2006
Last Updated
11/10/2021

Contact Information

Practice Location

10666 N Torrey Pines Rd, La Jolla, CA 92037-1027

(858) 554-8638

Unlisted Fax

Mailing Location

File# 54433, Los Angeles, CA 90074-0001

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License A60298 California
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License A60298 California

Provider Identifiers

ID	Description	Issuer
ID 00A602980	Description Medicaid	Issuer Unlisted California

Christopher J. Saucedo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Baehr, George R

Jackier, Martin L

Torres, Erick

Cardall, Taylor Y.

Neuendorf, Johannes M.

Eagle, Sonja Zoe Opal

Sapiro, Elaine M

Lippi, Matthew W

Spiegler, Frederick Hollister

Lepkowski, Gregory S.