Individual provider · Type 1 NPI
Marco Sandoval
Military Health Care Provider · Anaheim, CA
NPI number
1124406970
Active
Practice location
1661 Raymond Ave
Anaheim, CA 92801
Mailing address
11809 Maidstone Ave
Norwalk, CA 90650-7936
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | None listed |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
About NPI 1124406970
Marco Sandoval's National Provider Identifier is 1124406970, issued on May 13, 2015. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Anaheim, CA. The record was last updated on Sep 10, 2015.