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NPI Code Detail

MEDICARE: ESTEBAN SARABIA PAC

MEDICARE: ESTEBAN SARABIA PAC
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 AssistantPA16600CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1EAP70948FOTHERCAEAPC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881782290
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTEBAN SARABIA PAC
Provider Business Mailing Address
First Line : 8412 LA SIERRA AVE
Second Line :
City : WHITTIER
State : CA
Zip : 90605-1222
Country : US
Telephone Number : 562-693-1827
Fax Number : 213-893-1967
Provider Business Practice Location Address
First Line : 311 WINSTON ST
Second Line : LOS ANGELES MISSION COMMUNITY CLINIC
City : LOS ANGELES
State : CA
Zip : 90013-1519
Country : US
Telephone Number : 213-893-1960
Fax Number : 213-893-1967
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 12/01/2021

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Directions to “ ESTEBAN SARABIA PAC” Practice Location

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