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NPI Code Detail

MEDICARE: SARAH ILENE SEGURA

MEDICARE:   SARAH ILENE SEGURA
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
1225400000XRehabilitation PractitionerCA

General Provider Information

NPI Number : 1700477817
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ILENE SEGURA
Provider Business Mailing Address
First Line : 15423 HALCOURT AVE
Second Line :
City : NORWALK
State : CA
Zip : 90650-5413
Country : US
Telephone Number : 562-412-4344
Fax Number :
Provider Business Practice Location Address
First Line : 14140 BEACH BLVD STE 223
Second Line :
City : WESTMINSTER
State : CA
Zip : 92683-4453
Country : US
Telephone Number : 714-896-7519
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2021
Last Update Date : 06/15/2026

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Directions to “ SARAH ILENE SEGURA ” Practice Location

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