Individual provider · Type 1 NPI

Lisa Anita Sandoval

Rehabilitation Practitioner · Palmdale, CA

NPI number 1104785617 Active

Practice location

1050 E Palmdale Blvd Ste 211
Palmdale, CA 93550-4750

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XR16211170725 (CA)

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1104785617

Lisa Anita Sandoval's National Provider Identifier is 1104785617, issued on Jan 20, 2026. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Palmdale, CA. The record was last updated on Feb 3, 2026.