Provider Demographics
NPI:1225576770
Name:WEXLER, SARAH (PA-C)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:WEXLER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17660 CAMINO DE YATASTO
Mailing Address - Street 2:
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-2014
Mailing Address - Country:US
Mailing Address - Phone:310-367-6626
Mailing Address - Fax:
Practice Address - Street 1:17660 CAMINO DE YATASTO
Practice Address - Street 2:
Practice Address - City:PACIFIC PALISADES
Practice Address - State:CA
Practice Address - Zip Code:90272-2014
Practice Address - Country:US
Practice Address - Phone:310-367-6626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-04
Last Update Date:2017-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant