Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 51712 | CA |
NPI | 1073600318 |
---|---|
Provider Name | Neil F Sachs |
First Address | Rancho Mirage, CA 92270-4149 |
Second Address | Rancho Mirage, CA 92270 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 04/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U23747 | (02) | CA |