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JONATHAN SACK MD NPI 1578587663


NPI Information

NPI: 1578587663
Provider Name: JONATHAN SACK, MD
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
200 UCLA MEDICAL PLZ
SUITE #214
LOS ANGELES, CA
ZIP 90095
Phone: (310) 794-7788
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Jonathan Sack, MD is a surgery in Los Angeles, CA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Jonathan Sack, MD NPI is 1578587663. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 UCLA MEDICAL PLZ
SUITE #214
LOS ANGELES, CA
ZIP 90095-344
Phone: (310) 794-7788

The enumeration date for this NPI number is 7/26/2006 and was last updated on 8/13/2010.


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
1208600000XSurgeryG85834CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C70982MEDICARE UPINCALIFORNIA
200G858340MEDICAIDCALIFORNIA
3WG85834AMEDICARE PINCALIFORNIA

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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