Provider Demographics
NPI:1609847649
Name:SEXTON, U.A. GARRED (MD)
Entity Type:Individual
Prefix:
First Name:U.A.
Middle Name:GARRED
Last Name:SEXTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3623 W 227TH ST.
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-2522
Mailing Address - Country:US
Mailing Address - Phone:310-373-3989
Mailing Address - Fax:310-375-2832
Practice Address - Street 1:3623 W 227TH ST
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-2522
Practice Address - Country:US
Practice Address - Phone:310-373-3989
Practice Address - Fax:310-375-2832
Is Sole Proprietor?:No
Enumeration Date:2006-01-28
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC42466204C00000X, 2083X0100X, 2083A0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine