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Individual

SARAH ANNE COLOSIMO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
757 WESTWOOD PLZ STE 3325, LOS ANGELES, CA 90095-8358
(310) 267-8946
Mailing address
5767 W CENTURY BLVD SUITE 400, LOS ANGELES, CA 90095-5631

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95185511
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001121
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
XYG922265730
MEDICARE
MI
Enumeration date
07/12/2017
Last updated
01/31/2025
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