Sara Johansen, M.d., P.c. | |
3101 Park Blvd Palo Alto CA 94306 | |
(650) 382-2191 | |
Not Available |
Full Name | Sara Johansen, M.d., P.c. |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 3101 Park Blvd, Palo Alto, California |
Authorized Official Name and Position | Sara Johansen (CEO) |
Authorized Official Contact | 6503822191 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sara Johansen, M.d., P.c. 555 Bryant Street #924 Palo Alto CA 94301 Ph: () - | Sara Johansen, M.d., P.c. 3101 Park Blvd Palo Alto CA 94306 Ph: (650) 382-2191 |
NPI Number | 1649950486 |
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Provider Enumeration Date | 07/18/2023 |
Last Update Date | 07/18/2023 |
Certification Date | 07/12/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649950486 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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