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NPI Code Detail

MEDICARE: SARA ANN STREICH PA

MEDICARE:   SARA ANN STREICH  PA
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
1363A00000XPhysician Assistant13770CA
2363A00000XPhysician AssistantPA13770CA

General Provider Information

NPI Number : 1487695854
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA ANN STREICH PA
Provider Business Mailing Address
First Line : 10470 OLD PLACERVILLE RD
Second Line : SUITE 100
City : SACRAMENTO
State : CA
Zip : 95827-2539
Country : US
Telephone Number : 530-745-1500
Fax Number : 530-745-1505
Provider Business Practice Location Address
First Line : 480 PLUMAS BLVD
Second Line :
City : YUBA CITY
State : CA
Zip : 95991-5005
Country : US
Telephone Number : 530-749-3520
Fax Number : 530-749-3624
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 05/06/2013

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Directions to “ SARA ANN STREICH PA” Practice Location

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