Provider Demographics
NPI:1982031647
Name:SARAH YOVINO MD PA
Entity Type:Organization
Organization Name:SARAH YOVINO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:K
Authorized Official - Last Name:YOVINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-887-9999
Mailing Address - Street 1:462 N LINDEN DR
Mailing Address - Street 2:SUITE 440
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-2247
Mailing Address - Country:US
Mailing Address - Phone:310-887-9999
Mailing Address - Fax:888-434-6088
Practice Address - Street 1:462 N LINDEN DR
Practice Address - Street 2:SUITE 440
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-2247
Practice Address - Country:US
Practice Address - Phone:310-887-9999
Practice Address - Fax:888-434-6088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-26
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC55023207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty