Provider Demographics
NPI:1174554695
Name:SASAKI, SHARON KAYE (LAC)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:KAYE
Last Name:SASAKI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:870 MARKET ST
Mailing Address - Street 2:SUITE 309
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-3008
Mailing Address - Country:US
Mailing Address - Phone:415-781-7850
Mailing Address - Fax:415-641-0242
Practice Address - Street 1:870 MARKET ST.
Practice Address - Street 2:SUITE 309
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3008
Practice Address - Country:US
Practice Address - Phone:415-781-7850
Practice Address - Fax:415-641-0242
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4550171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC0045500Medicaid