Healthcare Provider Details

I. General information

NPI: 1558224345
Provider Name (Legal Business Name): SABRINA SHALEMI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 7003
LAGUNA NIGUEL CA
92607-7003
US

IV. Provider business mailing address

29911 NIGUEL RD
LAGUNA NIGUEL CA
92607-2479
US

V. Phone/Fax

Practice location:
  • Phone: 800-275-8777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: