Park, Sarah
Park, Sarah is an individual health care provider with primary practice located at 10861 Cherry St Ste 302 , Los Alamitos CA 90720-5403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Park, Sarah can be contacted via phone (562) 493-1011.Contact Information
Primary practice address
10861 Cherry St Ste 302
Los Alamitos CA 90720-5403
Phone: (562) 493-1011
Fax: (562) 594-9226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 9000472 | California |
Profile Details
| NPI number | 1609282771 |
|---|---|
| LBN Legal business name | Park, Sarah |
| Credentials | N.P.-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2014 |
| Last updated | Nov 29th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609282771 | NPPES |
| California | MEDICAID | GR0058960 |
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