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NPI Code Detail

MEDICARE: SABRINA DALLAS

MEDICARE:   SABRINA  DALLAS
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 : 1477127272
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABRINA DALLAS
Provider Business Mailing Address
First Line : 1900 E 4TH ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-3910
Country : US
Telephone Number : 714-967-4766
Fax Number :
Provider Business Practice Location Address
First Line : 1900 E 4TH ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-3910
Country : US
Telephone Number : 714-967-4766
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2021
Last Update Date : 04/07/2026

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Directions to “ SABRINA DALLAS ” Practice Location

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