Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sarah Kooda-Black

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821827601

Sarah Kooda-Black is a Student in an Organized Health Care Education/Training Program in Pomona, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

309 E 2nd St
Pomona, CA 91766-1854
Phone: (909) 623-6116
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1821827601
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 30, 2024
Last updated in NPPESMarch 15, 2025
Certification dateMarch 15, 2025

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