Healthcare Provider Details
I. General information
NPI: 1770395022
Provider Name (Legal Business Name): SABRINA COTTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/23/2025
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9317 FIRESTONE BLVD # 185
DOWNEY CA
90241-5322
US
IV. Provider business mailing address
9317 FIRESTONE BLVD # 185
DOWNEY CA
90241-5322
US
V. Phone/Fax
- Phone: 562-955-0144
- Fax:
- Phone: 562-955-0144
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP2300X |
| Taxonomy | Primary Care Nurse Practitioner |
| License Number | 95028730 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: