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Individual

BRENT A SACKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
9001 WILSHIRE BLVD STE 100, BEVERLY HILLS, CA 90211-1840
(310) 275-2339
(310) 275-2357
Mailing address
PO BOX 25033, SANTA ANA, CA 92799-5033
(714) 347-1000
(714) 347-1082

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
112008
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
95001445
CA
367500000X
Certified Registered Nurse Anesthetist
AP134142
TX

Other

Enumeration date
06/07/2017
Last updated
12/06/2022
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