SARAH APOLLO DT PC NPI 1639691397

NPI Information

NPI: 1639691397
Provider Name: SARAH APOLLO DT PC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
22 ODYSSEY STE 155
IRVINE, CA
ZIP 92618
Phone: (714) 202-7909
Get Directions

SARAH APOLLO DT PC is an addiction medicine family medicine in Irvine, CA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. SARAH APOLLO DT PC NPI is 1639691397. The provider is registered as an organization entity type.

The provider's business location address is:

22 ODYSSEY STE 155
IRVINE, CA
ZIP 92618-194
Phone: (714) 202-7909
Fax: (866) 242-5109

The provider's authorized official is Debra L Sanderson .
The authorized official title is Clinic Manger and has the following contact phone number (661) 993-8941.

The enumeration date for this NPI number is 7/13/2017 and was last updated on 7/28/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation	20A6613	CALIFORNIA	No
2	207QA0401X	Family Medicine	Addiction Medicine	20A6613	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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