Sacks, Elliot M

Sacks, Elliot M is an individual health care provider with primary practice located at 27700 Medical Center Rd , Mission Viejo CA 92691-6426. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Sacks, Elliot M can be contacted via phone (949) 263-8620.

Contact Information

Primary practice address
27700 Medical Center Rd Mission Viejo CA 92691-6426
Phone: (949) 263-8620
Fax: (800) 409-7005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00028454 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G32657 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD00028454 Washington
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X G32657 California

Profile Details

NPI number 1346240637
LBN Legal business name Sacks, Elliot M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jan 14th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346240637 NPPES
Washington MEDICAID 8126476
Washington Other 00G326570
Washington MEDICAID 1346240637

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