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NPI Code Detail

MEDICARE: MR. SAMUEL JOSEPH SACHNOFF LCSW

MEDICARE: MR. SAMUEL JOSEPH SACHNOFF LCSW
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
11041C0700XClinical Social Worker126874CA

General Provider Information

NPI Number : 1952046237
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SAMUEL JOSEPH SACHNOFF LCSW
Provider Business Mailing Address
First Line : 10948 NATIONAL BLVD APT 10
Second Line :
City : LOS ANGELES
State : CA
Zip : 90064-4049
Country : US
Telephone Number : 310-779-2226
Fax Number :
Provider Business Practice Location Address
First Line : 31450 BROAD BEACH RD
Second Line :
City : MALIBU
State : CA
Zip : 90265-2669
Country : US
Telephone Number : 310-779-2226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2022
Last Update Date : 07/16/2025

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