Sarah Fata

Individual provider Active NPI Rehabilitation Practitioner · Irwindale, CA

NPI 1144512112 · NPPES record last updated May 10, 2011

Key facts

NPI
1144512112
Entity type
Individual (NPI type 1)
Primary specialty
Rehabilitation Practitioner 225400000X
Practice address
13177 Ramona Blvd
Ste. C
Irwindale, CA 91706-3855
Phone
(626) 960-4020
NPI assigned
May 10, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Yes

Addresses

Primary practice location

13177 Ramona Blvd
Ste. C
Irwindale, CA 91706-3855

Mailing address

14814 E. Gale Ave.
Apt #B13
Hacienda Heights, CA 91745
Phone (626) 393-8650

Other providers in Irwindale, CA

All providers in Irwindale, CA · Rehabilitation Practitioner in California

Sources for this page

Verify at the official NPI Registry.