MEDICARE: ADRIENNE CYGAL SABIN DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	E3393	CA

General Provider Information

NPI Number	:	1043213523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIENNE CYGAL SABIN DPM

Provider Business Mailing Address
First Line	:	5327 HOUNDS EST
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95135-1207
Country	:	US
Telephone Number	:	408-275-9200
Fax Number	:

Provider Business Practice Location Address
First Line	:	5327 HOUNDS EST
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95135-1207
Country	:	US
Telephone Number	:	408-275-9200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	01/05/2021

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