Individual
JONATHAN PAUL SACKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
NAVAL HEALTH CLINIC HAWAII, 480 CENTRAL AVENUE, PEARL HARBOR, HI 96860
(808) 474-4242
(808) 471-0918
Mailing address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 474-4242
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA63531
CA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
01/20/2026
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