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DAVID A SACK MD A PROFESSIONAL MEDICAL CORPORATION NPI 1104377613


NPI Information

NPI: 1104377613
Provider Name: DAVID A SACK MD A PROFESSIONAL MEDICAL CORPORATION

Doing Business As: ELEMENTS MEDICAL GROUP

Classification: Psychiatry & Neurology - 2084P0802X
Entity Type: Organization

Specialization: Addiction Psychiatry

Address:
20786 COOL OAK WAY
MALIBU, CA
ZIP 90265
Phone: (424) 235-2337
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DAVID A SACK MD A PROFESSIONAL MEDICAL CORPORATION is an addiction psychiatry psychiatry neurology in Malibu, CA. The provider is addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. DAVID A SACK MD A PROFESSIONAL MEDICAL CORPORATION NPI is 1104377613. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Elements Medical Group.

The provider's business location address is:

20786 COOL OAK WAY
MALIBU, CA
ZIP 90265-318
Phone: (424) 235-2337
Fax: (310) 943-0438

The provider's authorized official is Cheryl Maplesden .
The authorized official title is Sr Director Rcm and has the following contact phone number (615) 540-3708.

The enumeration date for this NPI number is 10/19/2016 and was last updated on 1/24/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryNo
22084P0802XPsychiatry & NeurologyAddiction Psychiatry20A13416CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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