Individual provider · Type 1 NPI

Jacqueline Santos Sandoval, DO

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1376292235 Active

Practice location

5119 Pomona Blvd
Los Angeles, CA 90022-1711

Call (833) 574-2273 Map

Fax (866) 455-3867

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 1376292235

Jacqueline Santos Sandoval, DO's National Provider Identifier is 1376292235, issued on Mar 19, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 27, 2026.