Healthcare Provider Details
I. General information
NPI: 1982031647
Provider Name (Legal Business Name): SARAH YOVINO MD PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/26/2013
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9735 WILSHIRE BLVD STE 400
BEVERLY HILLS CA
90212-2103
US
IV. Provider business mailing address
9735 WILSHIRE BLVD STE 400
BEVERLY HILLS CA
90212-2103
US
V. Phone/Fax
- Phone: 310-887-9999
- Fax: 323-988-3888
- Phone: 310-887-9999
- Fax: 323-988-3888
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | C55023 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
SARAH
K
YOVINO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 310-887-9999