Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | G19140 | CA |
NPI | 1073770376 |
---|---|
Provider Name | Dr. George B Sachs |
First Address | Poway, CA 92064-2435 |
Second Address | Poway, CA 92064-2435 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2008 |
Last Update Date | 22/05/2008 |