Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | PSY17158 | CA |
NPI | 1073531190 |
---|---|
Provider Name | Dr. Barbara B. Sadak |
First Address | San Diego, CA 92103-5636 |
Second Address | San Diego, CA 92103-5636 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 08/07/2007 |