Provider Demographics
NPI:1396843926
Name:SADJA, LEE YORK (MD)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:YORK
Last Name:SADJA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2118 WILSHIRE BLVD
Mailing Address - Street 2:#1054
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403
Mailing Address - Country:US
Mailing Address - Phone:310-206-8787
Mailing Address - Fax:310-826-2227
Practice Address - Street 1:760 WESTWOOD BLVD
Practice Address - Street 2:67-429
Practice Address - City:WESTWOOD
Practice Address - State:CA
Practice Address - Zip Code:90024-1759
Practice Address - Country:US
Practice Address - Phone:310-206-8787
Practice Address - Fax:310-826-2227
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG273092084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
A43315Medicare UPIN
WG27309BMedicare ID - Type Unspecified