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Individual

JOHN CHARLES SACOOLIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14445 OLIVE VIEW DRIVE, ROOM 1A 133 OLIVE VIEW UCLA MEDICAL CENTER, SYLMAR, CA 91342
(818) 364-4036
(818) 364-4065
Mailing address
14445 OLIVE VIEW DRIVE, ROOM 1A 133 OLIVE VIEW UCLA MEDICAL CENTER, SYLMAR, CA 91342
(818) 364-4036
(818) 364-4065

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G49163
CA

Other

Enumeration date
07/12/2006
Last updated
07/08/2007
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