Healthcare Provider Details

I. General information

NPI: 1184488637
Provider Name (Legal Business Name): SARAH RISH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SAMI RISH

II. Dates (important events)

Enumeration Date: 02/06/2024
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3680 E IMPERIAL HWY STE 220-240
LYNWOOD CA
90262-2659
US

IV. Provider business mailing address

3680 E IMPERIAL HWY STE 220-240
LYNWOOD CA
90262-2659
US

V. Phone/Fax

Practice location:
  • Phone: 323-769-7174
  • Fax:
Mailing address:
  • Phone: 323-769-7174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT159760
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: