Individual
ALISA MARIE SABIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Mailing address
PO BOX 276950, SACRAMENTO, CA 95827-6950
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A62630
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A626300
MEDI-CAL
CA
Enumeration date
12/05/2005
Last updated
06/05/2025
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