Organization
SANDIA HEALTHCARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REZA EHSANIAN MD (OWNER)
(408) 687-8206
Entity
Organization
Contact information
Practice address
7000 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4313
(505) 344-9478
Mailing address
PO BOX 91902, ALBUQUERQUE, NM 87199-1902
(505) 581-6947
(505) 217-3950
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/11/2025
Last updated
04/12/2026
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