Provider Demographics
NPI:1043555451
Name:HESS, SARAH LOUISE
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LOUISE
Last Name:HESS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5250 SANTA MONICA BLVD STE 218
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90029-1254
Mailing Address - Country:US
Mailing Address - Phone:323-465-3777
Mailing Address - Fax:323-465-3773
Practice Address - Street 1:5250 SANTA MONICA BLVD
Practice Address - Street 2:218
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90029-1252
Practice Address - Country:US
Practice Address - Phone:323-464-3777
Practice Address - Fax:323-465-3773
Is Sole Proprietor?:No
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)