Provider Demographics
NPI:1932721800
Name:SARA HEALTH CARE INC
Entity Type:Organization
Organization Name:SARA HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:DOSUMU-JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-522-3677
Mailing Address - Street 1:3755 BEVERLY BLVD APT 303
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90004-3540
Mailing Address - Country:US
Mailing Address - Phone:323-522-3677
Mailing Address - Fax:323-522-3678
Practice Address - Street 1:3755 BEVERLY BLVD APT 303
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90004-3540
Practice Address - Country:US
Practice Address - Phone:323-522-3677
Practice Address - Fax:323-522-3678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center