MEDICARE: SARA FELD

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	104100000X	Social Worker	93602	CA

General Provider Information

NPI Number	:	1215311295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA FELD

Provider Business Mailing Address
First Line	:	2200 PACIFIC COAST HWY STE 302
Second Line	:
City	:	HERMOSA BEACH
State	:	CA
Zip	:	90254-2702
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 PACIFIC COAST HWY STE 302
Second Line	:
City	:	HERMOSA BEACH
State	:	CA
Zip	:	90254-2702
Country	:	US
Telephone Number	:	310-377-3873
Fax Number	:

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

Provider Enumeration Date	:	07/19/2015
Last Update Date	:	10/11/2024

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Directions to “ SARA FELD ” Practice Location

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