Provider Demographics
NPI:1750803094
Name:BAGHERIGALEH, SAADAT (MAOM)
Entity type:Individual
Prefix:
First Name:SAADAT
Middle Name:
Last Name:BAGHERIGALEH
Suffix:
Gender:F
Credentials:MAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6539 VIA ALCAZAR
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-4547
Mailing Address - Country:US
Mailing Address - Phone:860-899-8415
Mailing Address - Fax:
Practice Address - Street 1:3400 COTTAGE WAY STE G2
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-1474
Practice Address - Country:US
Practice Address - Phone:860-899-8415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-07
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist