Basic Information
Provider Information
NPI: 1629430368
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARRIGO
FirstName: SARAH
MiddleName: KATE
NamePrefix:  
NameSuffix:  
Credential: O.T.S
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 530 E SAINT JOHN ST
Address2:  
City: SAN JOSE
State: CA
PostalCode: 951123411
CountryCode: US
TelephoneNumber: 4848447557
FaxNumber:  
Practice Location
Address1: 2001 THE ALAMEDA
Address2:  
City: SAN JOSE
State: CA
PostalCode: 951261136
CountryCode: US
TelephoneNumber: 4082617777
FaxNumber: 4082592273
Other Information
ProviderEnumerationDate: 03/22/2016
LastUpdateDate: 03/22/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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