Individual
BRENDA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 N OCCIDENTAL BLVD, LOS ANGELES, CA 90026-4641
(213) 381-2931
Mailing address
155 N OCCIDENTAL BLVD, LOS ANGELES, CA 90026-4641
(213) 381-2931
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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