# JOHN SASAKI MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518011576
- **Authorized official:** DOUGLAS CYR (BILLING ADMINISTRATOR)
- **Authorized official phone:** (818) 957-2192

## Contact information

- **Practice address:** 255 E BONITA AVE, BLDG 1A, POMONA, CA 91767-1923
- **Practice address phone:** (909) 450-0377
- **Practice address fax:** (909) 450-0356
- **Mailing address:** PO BOX 129, CLAREMONT, CA 91711-0129
- **Mailing address phone:** (909) 450-0377
- **Mailing address fax:** (909) 450-0356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | G45473 | CA | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 04/08/2009