Provider Demographics
NPI:1184359044
Name:WEST, SARA (MSHS-PH)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:WEST
Suffix:
Gender:F
Credentials:MSHS-PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5040 COMANCHE DR APT 115
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-8139
Mailing Address - Country:US
Mailing Address - Phone:619-867-2835
Mailing Address - Fax:
Practice Address - Street 1:5040 COMANCHE DR APT 115
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-8139
Practice Address - Country:US
Practice Address - Phone:619-867-2835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-23
Last Update Date:2022-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174H00000XOther Service ProvidersHealth Educator