Provider Demographics
NPI:1487649992
Name:STORCH, SARA REBECCA (MD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:REBECCA
Last Name:STORCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 BURTON DR
Mailing Address - Street 2:#248
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95687-3526
Mailing Address - Country:US
Mailing Address - Phone:917-495-5283
Mailing Address - Fax:
Practice Address - Street 1:101 BODIN CIR
Practice Address - Street 2:
Practice Address - City:TRAVIS AFB
Practice Address - State:CA
Practice Address - Zip Code:94535-1809
Practice Address - Country:US
Practice Address - Phone:707-423-5330
Practice Address - Fax:707-423-7356
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY226759207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology