Healthcare Provider Details

I. General information

NPI: 1144425364
Provider Name (Legal Business Name): SABAH MICHELLE LANGSTON D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2007
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9041 MAGNOLIA AVE SUITE 305
RIVERSIDE CA
92503-3900
US

IV. Provider business mailing address

9041 MAGNOLIA AVE STE 305
RIVERSIDE CA
92503-3957
US

V. Phone/Fax

Practice location:
  • Phone: 951-343-3477
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberTP779
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number5101017151
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number20A11377
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: