Provider Demographics
NPI:1295159218
Name:BERRY, SABRINA LEE (DC)
Entity type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:LEE
Last Name:BERRY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 RED LEAF LN
Mailing Address - Street 2:
Mailing Address - City:LADERA RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92694-1249
Mailing Address - Country:US
Mailing Address - Phone:714-943-7833
Mailing Address - Fax:
Practice Address - Street 1:9 RED LEAF LN
Practice Address - Street 2:
Practice Address - City:LADERA RANCH
Practice Address - State:CA
Practice Address - Zip Code:92694-1249
Practice Address - Country:US
Practice Address - Phone:714-943-7833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-11
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21242111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition