David a Sack MD a Professional Medical Corporation
Organization Active NPI Addiction Psychiatry Physician · Malibu, CA
NPI 1104377613 · NPPES record last updated Jan 24, 2017
Key facts
- NPI
- 1104377613
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction Psychiatry Physician 2084P0802X
- License
- 20A13416 (CA)
- Legal business name
- DAVID A SACK MD A PROFESSIONAL MEDICAL CORPORATION
- Practice address
- 20786 Cool Oak Way
Malibu, CA 90265-5318 - Phone
- (424) 235-2337
- Fax
- (310) 943-0438
- NPI assigned
- Oct 19, 2016
- Organization subpart
- No
Authorized official
- Name
- Mrs. Cheryl Maplesden, CPC,CHC,CHPC
- Title
- Sr Director RCM
- Phone
- (615) 540-3708
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- David a Sack MD a Professional Medical Corporation
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | |||
| Addiction Psychiatry Physician |
2084P0802X | 20A13416 | CA | Yes |
Addresses
Primary practice location
20786 Cool Oak Way
Malibu, CA 90265-5318
Mailing address
PO Box 671387
Dallas, TX 75267-1387
Phone (615) 567-7282
Other names
- Elements Medical Group
Other providers in Malibu, CA
- Creative Care, Inc.
- CSMN Operations Ca LLC
- Cure Concierge Inc.
- D'Ambrosio Medical Group, Inc
- Allen Roy Darbonnie
- David a Sack MD a Professional Medical Corporation
- Paul Anthony David
- Donald D Davidson Jr.
- Danielle Derosa
- Sharon Boehmer Dittrich
All providers in Malibu, CA · Addiction Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.