Provider Demographics
NPI:1043993504
Name:HARIRI, SARA
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:HARIRI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SUGARCANE LN
Mailing Address - Street 2:
Mailing Address - City:LADERA RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92694-1329
Mailing Address - Country:US
Mailing Address - Phone:949-573-3411
Mailing Address - Fax:
Practice Address - Street 1:1 SUGARCANE LN
Practice Address - Street 2:
Practice Address - City:LADERA RANCH
Practice Address - State:CA
Practice Address - Zip Code:92694-1329
Practice Address - Country:US
Practice Address - Phone:949-573-3411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-10
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program