# GISELA MARIA SANDOVAL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083803894
- **Gender:** F
- **Credential:** M.D., PH.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | 243510-1 | NY | — |
| 2084P0800X | Psychiatry Physician | C56094 | CA | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 243510-1 | NY | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | C56094 | CA | Yes |

## Other

- **Enumeration date:** 10/17/2007
- **Last updated:** 04/30/2024