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NPI Code Detail

MEDICARE: SARAH MICHELLE VERDUGO PPS

MEDICARE: SARAH MICHELLE VERDUGO PPS
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
1103TS0200XSchool PsychologistCA

General Provider Information

NPI Number : 1841150190
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH MICHELLE VERDUGO PPS
Provider Business Mailing Address
First Line : 17071 GOTHARD ST
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92647-5417
Country : US
Telephone Number : 714-848-0656
Fax Number :
Provider Business Practice Location Address
First Line : 17071 GOTHARD ST
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92647-5417
Country : US
Telephone Number : 714-848-0656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2025
Last Update Date : 04/16/2026

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Directions to “ SARAH MICHELLE VERDUGO PPS” Practice Location

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