Individual provider · Type 1 NPI

Rudolph Sandoval

Peer Specialist · Long Beach, CA

NPI number 1023979481 Active

Practice location

5861 Cherry Ave
Long Beach, CA 90805-4405

Call (562) 676-4259 Map

Mailing address

12070 Telegraph Rd
Santa Fe Springs, CA 90670-3771

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-VUTMZB (CA)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1023979481

Rudolph Sandoval's National Provider Identifier is 1023979481, issued on Nov 24, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Long Beach, CA. The record was last updated on Nov 24, 2025.