Provider Demographics
NPI:1356199491
Name:WHANG, SABRINA AIKO
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:AIKO
Last Name:WHANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1538 REDDING PARK LN
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-6767
Mailing Address - Country:US
Mailing Address - Phone:408-818-0844
Mailing Address - Fax:
Practice Address - Street 1:1538 REDDING PARK LN
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-6767
Practice Address - Country:US
Practice Address - Phone:408-818-0844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program