MEDICARE: DR. BRUCE M SACHS PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PSY14629	CA

General Provider Information

NPI Number	:	1225190085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRUCE M SACHS PHD

Provider Business Mailing Address
First Line	:	2338 VALLEY MILL RD
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92020-1039
Country	:	US
Telephone Number	:	619-749-8062
Fax Number	:	619-749-8062

Provider Business Practice Location Address
First Line	:	2338 VALLEY MILL RD
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92020-1039
Country	:	US
Telephone Number	:	619-749-8062
Fax Number	:	619-749-8062

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	03/03/2025

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