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General NPI Number Information
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NPI Number | 1720250475
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Entity Type | Individual
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Provider Name | SARA HAJI ABDOLLAHI M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/01/2008
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 5400 BALBOA BLVD SUITE 222
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City | ENCINO
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State | CA
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Zip | 91316-1502
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Country | US
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Telephone | 818-990-0070
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Fax | 818-990-0082
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Provider Business Mailing Address
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Address Line | 100 E CALIFORNIA BLVD
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City | PASADENA
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State | CA
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Zip | 91105-3205
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Country | US
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Telephone | 626-568-8838
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Fax | 626-796-7657
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A133198
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License Number State | CA
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