Individual
SARA COBURN
Active
Individual
SARA COBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA200001905
DC
363AM0700X
Medical Physician Assistant
C0005062
MD
363AM0700X
Medical Physician Assistant
Primary
PA51618
CA
Other
Enumeration date
07/23/2013
Last updated
03/19/2026
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