Individual
DR. SARA BIVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MA, LAADC
Contact information
Practice address
19562 VENTURA BLVD STE 233, TARZANA, CA 91356-6059
(310) 810-8216
Mailing address
19562 VENTURA BLVD STE 233, TARZANA, CA 91356-6059
(310) 810-8216
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
LR0240315
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
LR117041
CA
Other
Enumeration date
02/01/2014
Last updated
03/12/2026
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