Shokouhi, Sara
Shokouhi, Sara is an individual health care provider with primary practice located at 675 Camino De Los Mares Ste 280 , San Clemente CA 92673-2836. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Shokouhi, Sara can be contacted via phone (949) 661-4411.Contact Information
Primary practice address
675 Camino De Los Mares Ste 280
San Clemente CA 92673-2836
Phone: (949) 661-4411
Fax: (949) 661-5511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A84540 | California |
Profile Details
| NPI number | 1487735726 |
|---|---|
| LBN Legal business name | Shokouhi, Sara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Feb 4th, 2008 - about 17 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 | 1487735726 | NPPES |
| California | Other | A84540 | MEDICAL LICENSE |
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