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NPI Code Detail

MEDICARE: SARA HANNA BERTAN

MEDICARE:   SARA HANNA BERTAN
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1326916594
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA HANNA BERTAN
Provider Business Mailing Address
First Line : 310 S PROSPECT AVE APT 2
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-3545
Country : US
Telephone Number : 310-910-5775
Fax Number :
Provider Business Practice Location Address
First Line : 310 S PROSPECT AVE APT 2
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-3545
Country : US
Telephone Number : 310-910-5775
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2025
Last Update Date : 10/28/2025

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Directions to “ SARA HANNA BERTAN ” Practice Location

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