MEDICARE: DR. SARA JAVIDINEJAD O.D.

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
1	152W00000X	Optometrist	35773	CA

General Provider Information

NPI Number	:	1992563944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARA JAVIDINEJAD O.D.

Provider Business Mailing Address
First Line	:	121 W WHITTIER BLVD STE 100
Second Line	:
City	:	LA HABRA
State	:	CA
Zip	:	90631-0903
Country	:	US
Telephone Number	:	562-694-2500
Fax Number	:

Provider Business Practice Location Address
First Line	:	5991 E SPRING ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-3752
Country	:	US
Telephone Number	:	562-938-9945
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2024
Last Update Date	:	02/02/2026

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