Organization
MEDISCAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD SANDOVAL RCP (RESPIRATORY THERAPIST)
(661) 435-8307
Entity
Organization
Contact information
Practice address
4738 W AVENUE L8, LANCASTER, CA 93536-3560
(661) 435-8307
Mailing address
4738 W AVENUE L8, LANCASTER, CA 93536-3560
(661) 435-8307
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
22397
CA
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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