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Organization
SANDRA NIETO, MD, A MEDICAL CORPORATION
Active
Organization
SANDRA NIETO, MD, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA NIETO MD (PRESIDENT)
(323) 786-8833
Entity
Organization
Contact information
Practice address
433 N 4TH ST STE 211, MONTEBELLO, CA 90640-4309
(323) 786-8833
(323) 967-6067
Mailing address
PO BOX 2559, MONTEBELLO, CA 90640-7359
(323) 786-8833
(323) 967-6067
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003830258
—
CA
Enumeration date
05/31/2018
Last updated
05/31/2018
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