Individual
ANTONIO SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
552 S PASEO DOROTEA STE 2, PALM SPRINGS, CA 92264-1437
(760) 320-6988
(760) 320-9796
Mailing address
552 S PASEO DOROTEA STE 2, PALM SPRINGS, CA 92264-1437
(760) 320-6988
(760) 320-9796
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
02/17/2024
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