Healthcare Provider Details

I. General information

NPI: 1083846448
Provider Name (Legal Business Name): ELIZABETH SARINANA ASW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2009
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12440 FIRESTONE BLVD SUITE 316
NORWALK CA
90650-4328
US

IV. Provider business mailing address

12440 FIRESTONE BLVD SUITE 316
NORWALK CA
90650-4328
US

V. Phone/Fax

Practice location:
  • Phone: 562-864-3722
  • Fax: 562-864-4596
Mailing address:
  • Phone: 562-864-3722
  • Fax: 562-864-4596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number74460
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: