Organization Name: | LIJUN SAKAL, MD |
NPI Number: | 1770669483 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DON SAKAL (CEO) |
Mailing Address: | 14662 Skyway Magalia |
State: | CA US |
Postal Code: | 959549356 |
Phone Number: | 5308731676 |
Fax Number: | 5308732643 |
NPI Enumeration Date: | 10/27/2006 |
NPI Last Update Date: | 04/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | A79563 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |