MEDICARE: SARAI ELEANOR MAZZILIANO M.A.

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	14381	CA

General Provider Information

NPI Number	:	1245163484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAI ELEANOR MAZZILIANO M.A.

Provider Business Mailing Address
First Line	:	2767 MYRTLE AVE
Second Line	:
City	:	SANGER
State	:	CA
Zip	:	93657-8750
Country	:	US
Telephone Number	:	559-905-6983
Fax Number	:

Provider Business Practice Location Address
First Line	:	2207 9TH ST
Second Line	:
City	:	SANGER
State	:	CA
Zip	:	93657-2711
Country	:	US
Telephone Number	:	559-905-6983
Fax Number	:

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

Provider Enumeration Date	:	06/06/2026
Last Update Date	:	06/06/2026

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Directions to “ SARAI ELEANOR MAZZILIANO M.A.” Practice Location

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