MEDICARE: SARA L HEIN APCC 12455

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	101YP2500X	Professional Counselor	12455	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427534080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA L HEIN APCC 12455

Provider Business Mailing Address
First Line	:	510 S VERMONT AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90020-1912
Country	:	US
Telephone Number	:	800-854-7771
Fax Number	:

Provider Business Practice Location Address
First Line	:	349 E AVENUE K6 STE A
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93535-4548
Country	:	US
Telephone Number	:	661-723-4260
Fax Number	:

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

Provider Enumeration Date	:	07/17/2018
Last Update Date	:	05/28/2026

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