Sacks, David B
Sacks, David B is an sole proprietor health care provider with primary practice located at 999 N Tustin Ave 122, Santa Ana CA 92705-6505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Sacks, David B can be contacted via phone (714) 542-3961.Contact Information
Primary practice address
999 N Tustin Ave 122
Santa Ana CA 92705-6505
Phone: (714) 542-3961
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | A30335 | California |
Profile Details
| NPI number | 1114087764 |
|---|---|
| LBN Legal business name | Sacks, David B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2006 |
| Last updated | May 6th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114087764 | NPPES |
| California | MEDICAID | 00A30335 | |
| California | Other | A30335 |
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