MEDICARE: SARAH A HERSHKOWITZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	23601	CA

General Provider Information

NPI Number	:	1104784230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH A HERSHKOWITZ

Provider Business Mailing Address
First Line	:	5202 NUTMEG ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92105-4954
Country	:	US
Telephone Number	:	619-249-3080
Fax Number	:

Provider Business Practice Location Address
First Line	:	4777 IMPERIAL AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92113-2071
Country	:	US
Telephone Number	:	619-266-6500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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Directions to “ SARAH A HERSHKOWITZ ” Practice Location

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