Healthcare Provider Details

I. General information

NPI: 1588469985
Provider Name (Legal Business Name): SARAH S EROLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/18/2025
Last Update Date: 07/20/2026
Certification Date: 02/18/2025
Deactivation Date: 11/05/2025
Reactivation Date: 07/20/2026

III. Provider practice location address

28351 WINTERDALE DR
CANYON COUNTRY CA
91387-3132
US

IV. Provider business mailing address

28351 WINTERDALE DR
CANYON COUNTRY CA
91387-3132
US

V. Phone/Fax

Practice location:
  • Phone: 661-755-4057
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: