Individual
JOHN T SASAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
255 E BONITA AVE, BLDG 1A, POMONA, CA 91767-1923
(909) 450-0377
(909) 450-0356
Mailing address
PO BOX 129, CLAREMONT, CA 91711-0129
(909) 450-0377
(909) 450-0356
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G45473
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
G45473
CA
208VP0000X
Pain Medicine Physician
G45473
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
G45473
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G454730
—
CA
Enumeration date
12/11/2006
Last updated
06/04/2009
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