Provider Demographics
NPI:1679510697
Name:SASSON, NICHOLAS JASON (MD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:JASON
Last Name:SASSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3401 ENGINEER LANE
Mailing Address - Street 2:
Mailing Address - City:SEASIDE
Mailing Address - State:CA
Mailing Address - Zip Code:93955-7200
Mailing Address - Country:US
Mailing Address - Phone:831-883-3800
Mailing Address - Fax:831-883-3829
Practice Address - Street 1:3401 ENGINEER LANE
Practice Address - Street 2:
Practice Address - City:SEASIDE
Practice Address - State:CA
Practice Address - Zip Code:93955-7200
Practice Address - Country:US
Practice Address - Phone:831-883-3800
Practice Address - Fax:831-883-3829
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2012-10-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA84535207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine