Healthcare Provider Details

I. General information

NPI: 1568823714
Provider Name (Legal Business Name): SARAH S. TEYMOORIAN, MD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2016
Last Update Date: 03/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23521 PASEO DE VALENCIA SUITE 108
LAGUNA HILLS CA
92653-3137
US

IV. Provider business mailing address

23521 PASEO DE VALENCIA SUITE 108
LAGUNA HILLS CA
92653-3137
US

V. Phone/Fax

Practice location:
  • Phone: 949-588-7262
  • Fax: 844-883-0111
Mailing address:
  • Phone: 949-588-7262
  • Fax: 844-883-0111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: SARAH S. TEYMOORIAN
Title or Position: PRESIDENT/OWNER
Credential: M.D.
Phone: 949-588-7262