Individual provider · Type 1 NPI
Martha M. Sandoval, NURSE PRACTITIONER
Adult Health Nurse Practitioner · Los Angeles, CA
NPI number
1649481383
Active
Practice location
245 S Fetterly Ave
Los Angeles, CA 90022-1605
Mailing address
425 S Greenwood Ave
Pasadena, CA 91107-5020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 319792 (CA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1649481383
Martha M. Sandoval, NURSE PRACTITIONER's National Provider Identifier is 1649481383, issued on May 24, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.