Individual
MRS. SARAH ELIZABETH STAROSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
153 PIONEER LN STE B, BISHOP, CA 93514-2517
(760) 873-2849
(760) 873-2836
Mailing address
153 PIONEER LN STE B, BISHOP, CA 93514-2517
(760) 873-2849
(760) 873-2836
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA18706
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205950888
FACILITY NPI
CA
01
—
1659433191
ORGANIZATION NPI NUMBER
CA
01
—
OPA187061
MEDICARE PTAN
CA
05
—
RHM08578F
—
CA
Enumeration date
01/18/2007
Last updated
09/21/2010
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