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Organization

GERALD M. SACKS M.D. INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GERALD M SACKS M.D. (PRESIDENT)
(310) 264-7314
Entity
Organization

Contact information

Practice address
2021 SANTA MONICA BLVD STE 300E, SANTA MONICA, CA 90404-2148
(310) 264-7314
(310) 315-4984
Mailing address
2021 SANTA MONICA BLVD STE 300E, SANTA MONICA, CA 90404-2148
(310) 264-7314
(310) 315-4984

Taxonomy

Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
G66354
CA

Other

Enumeration date
11/09/2006
Last updated
02/06/2018
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