Healthcare Provider Details

I. General information

NPI: 1447175906
Provider Name (Legal Business Name): SARAH SORIANO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 W OLIVE AVE
FULLERTON CA
92833-4132
US

IV. Provider business mailing address

439 PINEHURST CT
FULLERTON CA
92835-2733
US

V. Phone/Fax

Practice location:
  • Phone: 714-447-7775
  • Fax:
Mailing address:
  • Phone: 714-342-8252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP24828
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: