Provider Demographics
NPI:1376884874
Name:LANGLEY, SARA (NP)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:LANGLEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8500 WILSHIRE BLVD # 740
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3121
Mailing Address - Country:US
Mailing Address - Phone:818-650-4814
Mailing Address - Fax:
Practice Address - Street 1:8500 WILSHIRE BLVD # 740
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3121
Practice Address - Country:US
Practice Address - Phone:818-650-4814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-07
Last Update Date:2024-03-20
Deactivation Date:2013-05-21
Deactivation Code:
Reactivation Date:2014-01-29
Provider Licenses
StateLicense IDTaxonomies
CA95000545363LP0808X, 390200000X, 363LA2200X
CA825127163W00000X
NY657022-1163W00000X
NYF306789-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No163W00000XNursing Service ProvidersRegistered Nurse