MEDICARE: SARAH L ABBAMONTO

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	1041C0700X	Clinical Social Worker	119401	CA

General Provider Information

NPI Number	:	1396268553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH L ABBAMONTO

Provider Business Mailing Address
First Line	:	PO BOX 12384
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92859-8384
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2082 SE BRISTOL ST STE 207
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-1740
Country	:	US
Telephone Number	:	714-310-2202
Fax Number	:

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

Provider Enumeration Date	:	07/19/2017
Last Update Date	:	01/08/2024

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Directions to “ SARAH L ABBAMONTO ” Practice Location

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