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Organization
SAND COSMETIC INC
Active
Organization
SAND COSMETIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY FAYE SAND M.D. (PRESIDENT)
(310) 792-3914
Entity
Organization
Contact information
Practice address
1964 WESTWOOD BLVD, SUITE #125, LOS ANGELES, CA 90025-4651
(310) 441-2263
Mailing address
PO BOX 3129, TORRANCE, CA 90510-3129
(310) 792-3914
(855) 898-4055
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
NULL
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
11/29/2013
Last updated
12/28/2013
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