Provider Demographics
NPI:1528847530
Name:SAELEE, TIGER FONG
Entity type:Individual
Prefix:
First Name:TIGER
Middle Name:FONG
Last Name:SAELEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2350 W SHAW AVE STE 126
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-3400
Mailing Address - Country:US
Mailing Address - Phone:209-294-8285
Mailing Address - Fax:
Practice Address - Street 1:2350 W SHAW AVE STE 126
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-3400
Practice Address - Country:US
Practice Address - Phone:209-294-8285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-28
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA882201835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric