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Organization
RICHARD E. SAND, M.D., APC
Active
Organization
RICHARD E. SAND, M.D., APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD E SAND MD (PRESIDENT)
(818) 783-4555
Entity
Organization
Contact information
Practice address
5400 BALBOA BLVD, ENCINO, CA 91316-5209
(818) 783-4555
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-8950
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G20210
—
CA
Enumeration date
03/29/2006
Last updated
08/22/2020
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