| Doctor Name: | JOSEPH ESTEPHAN SADEKIAN |
| NPI Number: | 1417122698 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.PH. |
| License Number: | 41901 |
| Business Practice Address: | 250 Travelodge Dr El Cajon, CA - 920204126 |
| Business Phone Number: | 6194413149 |
| Business Fax Number: | 6194413185 |
| Mailing Address: | 250 Travelodge Dr, EL CAJON |
| State: | CA |
| Postal Code: | 920204126 |
| Phone Number: | 6194413149 |
| Fax Number: | 6194413185 |
| NPI Enumeration Date: | 04/28/2008 |
| NPI Last Update Date: | 04/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | 41901 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |