| Organization Name: | H DAVID SACKS DO A PROFESSIONAL MEDICAL CORPORATION |
| NPI Number: | 1053670372 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HYMAN DAVID SACKS (DIRECTOR) |
| Mailing Address: | 44751 Village Ct Suite 300 Palm Desert |
| State: | CA US |
| Postal Code: | 922603815 |
| Phone Number: | 7607799100 |
| Fax Number: | 7607798202 |
| NPI Enumeration Date: | 05/07/2012 |
| NPI Last Update Date: | 09/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 20A4920 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |