Provider Demographics
NPI:1790565398
Name:SARAH SICHER MD, INC
Entity Type:Organization
Organization Name:SARAH SICHER MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:D
Authorized Official - Last Name:SICHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-362-7670
Mailing Address - Street 1:729 MISSION ST STE 300
Mailing Address - Street 2:
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-3070
Mailing Address - Country:US
Mailing Address - Phone:310-362-7670
Mailing Address - Fax:
Practice Address - Street 1:729 MISSION ST STE 300
Practice Address - Street 2:
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-3070
Practice Address - Country:US
Practice Address - Phone:310-362-7670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty