Provider Demographics
NPI:1417416637
Name:ZAREI, SARA (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:ZAREI
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 W KATELLA AVE STE 304
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-4790
Mailing Address - Country:US
Mailing Address - Phone:714-352-0301
Mailing Address - Fax:855-233-8813
Practice Address - Street 1:303 W KATELLA AVE STE 304
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-4790
Practice Address - Country:US
Practice Address - Phone:714-352-0301
Practice Address - Fax:855-233-8813
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-18
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3206652084N0400X, 208D00000X
CACA1914782084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice