Provider Demographics
NPI:1790893261
Name:SEDRAK, DAVID ABDEL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ABDEL
Last Name:SEDRAK
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 N ESCONDIDO BLVD
Mailing Address - Street 2:UNIT 26
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92026-2511
Mailing Address - Country:US
Mailing Address - Phone:760-755-7523
Mailing Address - Fax:
Practice Address - Street 1:909 E VALLEY PKWY
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-3428
Practice Address - Country:US
Practice Address - Phone:760-480-1081
Practice Address - Fax:760-480-8833
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58250183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist