Provider Demographics
NPI:1508148610
Name:DESMET, SARA
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:DESMET
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 1:15333 CULVER DR
Mailing Address - Street 2:STE 340 #2167
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-3504
Mailing Address - Country:US
Mailing Address - Phone:949-414-6301
Mailing Address - Fax:
Practice Address - Street 1:100 SPECTRUM CTR DR
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618
Practice Address - Country:US
Practice Address - Phone:949-414-6301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-14
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist