Sara Vicendese | Los Angeles, CA • PECOS Search

Sara Vicendese

Marriage & Family Therapist

Behavioral Health & Social Service Providers

1081 Westwood Blvd, Suite 221, Los Angeles, CA 90024-2911

PECOS Enrollment

Based on the most recent information from CMS, provider Sara Vicendese does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1386023802
Provider Type
Individual
Full Name
Vicendese, Sara
Credential
LMFT

Gender
Female
Sole Proprietor
Yes
Enumeration Date
5/29/2015
Last Updated
5/29/2015

Contact Information

Practice Location

1081 Westwood Blvd, Suite 221, Los Angeles, CA 90024-2911

Unlisted Fax

Mailing Location

1081 Westwood Blvd, Suite 221, Los Angeles, CA 90024-2911

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 85361 California