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NPI Code Detail

MEDICARE: SABRINA SON LCSW

MEDICARE: SABRINA SON LCSW
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
11041S0200XSchool Social Worker88862CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
188862OTHERCABBS

General Provider Information

NPI Number : 1457993859
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABRINA SON LCSW
Provider Business Mailing Address
First Line : 457 POPPY ST
Second Line :
City : FULLERTON
State : CA
Zip : 92835-3596
Country : US
Telephone Number : 310-938-7656
Fax Number :
Provider Business Practice Location Address
First Line : 1515 W MISSION RD
Second Line :
City : ALHAMBRA
State : CA
Zip : 91803-1618
Country : US
Telephone Number : 626-943-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2019
Last Update Date : 11/27/2023

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Directions to “ SABRINA SON LCSW” Practice Location

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