Provider Demographics
NPI:1083835433
Name:SARKA, GEORGE (MD, MPH, FACP, FACR)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:SARKA
Suffix:
Gender:M
Credentials:MD, MPH, FACP, FACR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27471 MAVERICK CIR
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-5896
Mailing Address - Country:US
Mailing Address - Phone:323-365-1825
Mailing Address - Fax:
Practice Address - Street 1:18111 NORDHOFF ST
Practice Address - Street 2:CSUN, KLOTZ STUDENT HEALTH CENTER
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91330-8270
Practice Address - Country:US
Practice Address - Phone:818-677-3666
Practice Address - Fax:818-677-2304
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG55876207RS0010X, 2084N0400X, 207RR0500X, 207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207RS0010XAllopathic & Osteopathic PhysiciansInternal MedicineSports Medicine
Not Answered2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Not Answered207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Not Answered207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG55876OtherMEDICAL LICENSE