Healthcare Provider Details

I. General information

NPI: 1427029883
Provider Name (Legal Business Name): SARAH K VAKKALANKA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18800 DELAWARE STREET SUITE 100
HUNTINGTON BEACH CA
92648
US

IV. Provider business mailing address

18800 DELAWARE STREET SUITE 100
HUNTINGTON BEACH CA
92648
US

V. Phone/Fax

Practice location:
  • Phone: 714-707-3314
  • Fax: 714-707-3374
Mailing address:
  • Phone: 714-707-3314
  • Fax: 714-707-3374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberA94411
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: