Individual provider · Type 1 NPI

Vivian Ann Sandgren

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

NPI number 1639056575 Active

Practice location

1537 S Palos Verdes St
San Pedro, CA 90731-4842

Call (310) 945-3350 Map

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 1639056575

Vivian Ann Sandgren's National Provider Identifier is 1639056575, issued on Aug 20, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Pedro, CA. The record was last updated on Aug 20, 2025.