Provider Demographics
NPI:1063917318
Name:SALDANA, ERIC (MS, ATC, PTA)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:SALDANA
Suffix:
Gender:M
Credentials:MS, ATC, PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35869 CREEKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:YUCAIPA
Mailing Address - State:CA
Mailing Address - Zip Code:92399-9495
Mailing Address - Country:US
Mailing Address - Phone:951-206-0193
Mailing Address - Fax:
Practice Address - Street 1:3532 MONROE ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92504-6322
Practice Address - Country:US
Practice Address - Phone:951-687-4610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-28
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program