# SAND PACIFIC EYE GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649823618
- **Authorized official:** DANIEL SAND MD (AGENT OF SERVICE)
- **Authorized official phone:** (310) 750-3820

## Contact information

- **Practice address:** 1964 WESTWOOD BLVD STE 125, LOS ANGELES, CA 90025-8405
- **Practice address phone:** (310) 441-2263
- **Mailing address:** 1964 WESTWOOD BLVD STE 125, LOS ANGELES, CA 90025-8405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 207WX0120X | Cornea and External Diseases Specialist Physician | — | NULL | — |
| 207WX0120X | Cornea and External Diseases Specialist Physician | — | — | — |

## Other

- **Enumeration date:** 07/19/2019
- **Last updated:** 12/14/2020