Healthcare Provider Details

I. General information

NPI: 1659106334
Provider Name (Legal Business Name): SARA HURANI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2024
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22812 PETROLEUM AVE
TORRANCE CA
90502-2826
US

IV. Provider business mailing address

22812 PETROLEUM AVE
TORRANCE CA
90502-2826
US

V. Phone/Fax

Practice location:
  • Phone: 310-770-2962
  • Fax:
Mailing address:
  • Phone: 310-770-2962
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14919
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: