Healthcare Provider Details

I. General information

NPI: 1962325738
Provider Name (Legal Business Name): SARA MANSOURI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 CALLAN AVE STE 220
SAN LEANDRO CA
94577-4558
US

IV. Provider business mailing address

101 CALLAN AVE STE 220
SAN LEANDRO CA
94577-4558
US

V. Phone/Fax

Practice location:
  • Phone: 949-910-9156
  • Fax:
Mailing address:
  • Phone: 949-910-9156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: