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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346240637 | NPPES |
| Washington | MEDICAID | 8126476 | |
| Washington | Other | 00G326570 | |
| Washington | MEDICAID | 1346240637 |
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