Healthcare Provider Details

I. General information

NPI: 1508151721
Provider Name (Legal Business Name): SARA B HECHTMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2011
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1645 GOLDEN GATE AVE
LOS ANGELES CA
90026-1013
US

IV. Provider business mailing address

1645 GOLDEN GATE AVE
LOS ANGELES CA
90026-1013
US

V. Phone/Fax

Practice location:
  • Phone: 213-840-3118
  • Fax:
Mailing address:
  • Phone: 213-840-3118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number134216
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: