Healthcare Provider Details

I. General information

NPI: 1154861318
Provider Name (Legal Business Name): SARAH FLORIN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2017
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 ROYALTY DR STE 120
POMONA CA
91767-3047
US

IV. Provider business mailing address

10565 CIVIC CENTER DR STE 250
RANCHO CUCAMONGA CA
91730-3854
US

V. Phone/Fax

Practice location:
  • Phone: 909-527-8090
  • Fax: 909-450-0356
Mailing address:
  • Phone: 909-493-3800
  • Fax: 626-696-1451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number54261
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: