Individual provider · Type 1 NPI
Sutiweyu Sandoval
Peer Specialist · Los Angeles, CA
NPI number
1952139917
Active
Practice location
8623 S Vermont Ave Apt 6
Los Angeles, CA 90044-4855
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | MPSS-FUMTAR (CA) |
| Behavior Technician | 106S00000X | None listed |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
3 other providers at this address
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About NPI 1952139917
Sutiweyu Sandoval's National Provider Identifier is 1952139917, issued on Jul 22, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 23, 2026.