MEDICARE: SARAH G SIFUENTEZ M.D.

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	207P00000X	Emergency Medicine Physician	A127407	CA

General Provider Information

NPI Number	:	1952677155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH G SIFUENTEZ M.D.

Provider Business Mailing Address
First Line	:	6148 N DELBERT AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93722-2419
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6148 N DELBERT AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93722-2419
Country	:	US
Telephone Number	:	949-413-0538
Fax Number	:

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

Provider Enumeration Date	:	04/02/2012
Last Update Date	:	01/10/2022

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