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Organization

DAVID A SACK MD A PROFESSIONAL MEDICAL CORPORATION

Active
Other names
Elements Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHERYL MAPLESDEN CPC,CHC,CHPC (SR DIRECTOR RCM)
(615) 510-3078
Entity
Organization

Contact information

Practice address
2515 WILSHIRE BLVD, SANTA MONICA, CA 90403-4615
(866) 595-3105
(424) 272-9302
Mailing address
PO BOX 671387, DALLAS, TX 75267-1387
(615) 567-7282
(615) 261-8912

Taxonomy

Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
G88361
CA
2084P0802X
Addiction Psychiatry Physician
Primary
20A13416
CA

Other

Enumeration date
10/03/2016
Last updated
01/24/2017
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