Provider Demographics
NPI:1942084306
Name:HOSTETLER, SARAH (AUD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:HOSTETLER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7280 EL DORADO DR
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-2549
Mailing Address - Country:US
Mailing Address - Phone:714-403-7968
Mailing Address - Fax:
Practice Address - Street 1:3044 HORACE ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-4420
Practice Address - Country:US
Practice Address - Phone:951-248-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3641231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist