Individual
ELLIOT M SACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27700 MEDICAL CENTER RD, MISSION VIEJO, CA 92691-6426
(949) 263-8620
(800) 409-7005
Mailing address
DEPT LA 21789, PASADENA, CA 91185-1789
(949) 263-8620
(800) 409-7005
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G32657
CA
2085R0202X
Diagnostic Radiology Physician
MD00028454
WA
2085R0204X
Vascular & Interventional Radiology Physician
G32657
CA
2085R0204X
Vascular & Interventional Radiology Physician
MD00028454
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G326570
BC/BS OF CA
CA
05
—
1346240637
—
CA
05
—
8126476
—
WA
Enumeration date
07/28/2005
Last updated
01/14/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us