Individual provider · Type 1 NPI

Beverly Sansone, MD

Specialist · Fountain Valley, CA

NPI number 1104881549 Active

Practice location

9940 Talbert Ave, Suite 303
Fountain Valley, CA 92708-5153

Call (714) 378-5606 Map

Fax (714) 378-5621

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XG53820 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104881549

Beverly Sansone, MD's National Provider Identifier is 1104881549, issued on Apr 19, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fountain Valley, CA. The record was last updated on Apr 21, 2010.