Provider Demographics
NPI:1477584027
Name:SARTE, RICHARD JOSEPH (DPM INC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:JOSEPH
Last Name:SARTE
Suffix:
Gender:M
Credentials:DPM INC
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Mailing Address - Street 1:4835 VAN NUYS BLVD
Mailing Address - Street 2:SUITE 216
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-2109
Mailing Address - Country:US
Mailing Address - Phone:818-907-5311
Mailing Address - Fax:818-907-0548
Practice Address - Street 1:4835 VAN NUYS BLVD
Practice Address - Street 2:SUITE 216
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-2109
Practice Address - Country:US
Practice Address - Phone:818-907-5311
Practice Address - Fax:818-907-0548
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAE3285213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E3285Medicaid
CA000E32851Medicaid
CA000E32851Medicaid
CA000E3285Medicaid
CAT19301Medicare UPIN