Provider Demographics
NPI:1053532366
Name:FIELD, SARAH SAMIMI (MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:SAMIMI
Last Name:FIELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:SAMIMI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:725 W LA VETA AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4403
Mailing Address - Country:US
Mailing Address - Phone:714-633-6363
Mailing Address - Fax:
Practice Address - Street 1:725 W LA VETA AVE
Practice Address - Street 2:STE 100
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4403
Practice Address - Country:US
Practice Address - Phone:714-633-6363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009007669207KA0200X
CAA121800207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy