Healthcare Provider Details

I. General information

NPI: 1679809826
Provider Name (Legal Business Name): SARAH E FLEMING M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2009
Last Update Date: 01/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4077 FIFTH AVE MER 91
SAN DIEGO CA
92103-2105
US

IV. Provider business mailing address

4077 FIFTH AVE MER 91
SAN DIEGO CA
92103-2105
US

V. Phone/Fax

Practice location:
  • Phone: 619-260-7046
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA89838
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberA89838
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: