Provider Demographics
NPI:1407310493
Name:JOEL A. SACH, M.D., INC.
Entity Type:Organization
Organization Name:JOEL A. SACH, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:SACH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-989-7833
Mailing Address - Street 1:18425 BURBANK BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-6691
Mailing Address - Country:US
Mailing Address - Phone:310-989-7833
Mailing Address - Fax:
Practice Address - Street 1:18425 BURBANK BLVD STE 500
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-6691
Practice Address - Country:US
Practice Address - Phone:310-989-7833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOEL A. SACH, M.D., INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-24
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health