Provider Demographics
NPI:1255577888
Name:CAAN VAN LEEUWEN, SARA A (PA-C)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:A
Last Name:CAAN VAN LEEUWEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:SARA
Other - Middle Name:ALEXANDRA
Other - Last Name:CAAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:4140 W 190TH ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-5513
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10100 CULVER BLVD STE E
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-3174
Practice Address - Country:US
Practice Address - Phone:310-423-3333
Practice Address - Fax:310-423-1300
Is Sole Proprietor?:No
Enumeration Date:2009-01-03
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA19771363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant