Provider Demographics
NPI:1558994269
Name:MIKHAELI, SARA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:MIKHAELI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 S ELM DR APT 302
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-3305
Mailing Address - Country:US
Mailing Address - Phone:310-270-8192
Mailing Address - Fax:
Practice Address - Street 1:910 BROADWAY STE 105
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401-2797
Practice Address - Country:US
Practice Address - Phone:424-252-9224
Practice Address - Fax:424-252-9268
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA72242183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist