Provider Demographics
NPI:1992256192
Name:KOPERSKI, SABRINA (ND)
Entity type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:
Last Name:KOPERSKI
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3656 CAMINITO CIELO DEL MAR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-2324
Mailing Address - Country:US
Mailing Address - Phone:442-226-8942
Mailing Address - Fax:619-924-4752
Practice Address - Street 1:3656 CAMINITO CIELO DEL MAR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-2324
Practice Address - Country:US
Practice Address - Phone:442-226-8942
Practice Address - Fax:619-924-4752
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-23
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAND850OtherTHE NATUROPATHIC MEDICINE COMMITTEE