# MICHAEL J. SASEVICH, M.D., A PROFESSIONAL MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1710200530
- **Authorized official:** MICHAEL J. SASEVICH M.D. (PRESIDENT/CARDIOTHORACIC SURGEON)
- **Authorized official phone:** (760) 632-8400

## Contact information

- **Practice address:** 1200 GARDEN VIEW RD, SUITE 200, ENCINITAS, CA 92024-2477
- **Practice address phone:** (760) 632-8400
- **Practice address fax:** (760) 632-8448
- **Mailing address:** PO BOX 600, LA JOLLA, CA 92038-0600
- **Mailing address phone:** (760) 632-8400
- **Mailing address fax:** (760) 632-8448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | A85960 | CA | Yes |

## Other

- **Enumeration date:** 03/08/2010
- **Last updated:** 09/27/2011