Individual
MS. REBECA SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5360 JACKSON DRIVE, SUITE 100, LA MESA, CA 91942
(619) 464-1374
(619) 464-1058
Mailing address
5360 JACKSON DRIVE, SUITE 100, LA MESA, CA 91942
(619) 464-1374
(619) 464-1058
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
46951
TN
207V00000X
Obstetrics & Gynecology Physician
Primary
A107155
CA
Other
Enumeration date
05/05/2009
Last updated
08/19/2013
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