MEDICARE: DR. CONRAD J. SACK D.M.D., M.S.

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DL032172	CA

General Provider Information

NPI Number	:	1336177955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CONRAD J. SACK D.M.D., M.S.

Provider Business Mailing Address
First Line	:	9201 SUNSET BLVD. #200
Second Line	:	SUITE 200
City	:	LOS ANGELES
State	:	CA
Zip	:	90069
Country	:	US
Telephone Number	:	310-273-5775
Fax Number	:	310-275-5454

Provider Business Practice Location Address
First Line	:	9201 W SUNSET BLVD
Second Line	:	SUITE 200
City	:	LOS ANGELES
State	:	CA
Zip	:	90069-3701
Country	:	US
Telephone Number	:	310-273-5775
Fax Number	:	310-275-5454

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

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1144215849 — DR. PEYMAN SOLIEMANZADEH M.D.
Practice Location Address:

9201 W SUNSET BLVD , M130
LOS ANGELES, CA
90069-3701

Practice Phone: 310-276-6800
Practice Fax: 310-276-6801

1770552374 — DR. DAVID C HANSEN MD
Practice Location Address:

9201 W SUNSET BLVD , 612
LOS ANGELES, CA
90069-3701

Practice Phone: 310-273-8006
Practice Fax: 310-273-0974

1366405276 — DR. DOLORES RUTH KENT M.D.
Practice Location Address:

9201 W SUNSET BLVD , SUITE 406
LOS ANGELES, CA
90069-3701

Practice Phone: 310-860-9490
Practice Fax: 310-859-7792

1760448351 — DR. DAVID SALEHANI D.D.S., M.D.
Practice Location Address:

9201 W SUNSET BLVD , SUITE 502
LOS ANGELES, CA
90069-3701

Practice Phone: 310-275-3635
Practice Fax: 310-275-3646

1417909714 — CARDIO DIAGNOSTIC IMAGING, INC.
Practice Location Address:

9201 W SUNSET BLVD , SUITE M-150
LOS ANGELES, CA
90069-3701

Practice Phone: 310-273-8550
Practice Fax: 310-273-8567

1033149711 — JOSEPH T DEFOTO MD
Practice Location Address:

9201 W SUNSET BLVD , SUITE 812
LOS ANGELES, CA
90069-3701

Practice Phone: 310-550-1010
Practice Fax: 310-550-0650

Directions to “ DR. CONRAD J. SACK D.M.D., M.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.