Individual provider · Type 1 NPI

Iveth Sandoval, MD

Student in an Organized Health Care Education/Training Program · San Joaquin, CA

NPI number 1366995458 Active

Practice location

21890 W Colorado Ave
San Joaquin, CA 93660-9773

Call (559) 456-5560 Map

Mailing address

PO Box 737, 21890 W. Colorado Avenue
San Joaquin, CA 93660-0737

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366995458

Iveth Sandoval, MD's National Provider Identifier is 1366995458, issued on Jul 26, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Joaquin, CA. The record was last updated on Dec 6, 2021.