Provider Demographics
NPI:1750723078
Name:MAZE, SARAH LINDA (MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:LINDA
Last Name:MAZE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:LINDA
Other - Last Name:MAZE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:686 N LEMON HILL TRL
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869-2403
Mailing Address - Country:US
Mailing Address - Phone:714-997-0175
Mailing Address - Fax:
Practice Address - Street 1:686 N LEMON HILL TRL
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92869-2403
Practice Address - Country:US
Practice Address - Phone:714-997-0175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-29
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG37156174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist