Healthcare Provider Details

I. General information

NPI: 1396679338
Provider Name (Legal Business Name): SARA MORRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

298 S SEAWARD AVE
VENTURA CA
93003-2714
US

IV. Provider business mailing address

782 CHINOOK DR
VENTURA CA
93001-4407
US

V. Phone/Fax

Practice location:
  • Phone: 805-272-5706
  • Fax:
Mailing address:
  • Phone: 805-272-5706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number9784
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: