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MR. RICHARD ANTHONY SANDOVAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
4900 CALIFORNIA AVE STE 400B, BAKERSFIELD, CA 93309-7081
(661) 459-1900
Mailing address
38618 15TH ST E, PALMDALE, CA 93550-3904
(661) 435-8307

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
51313
CA

Other

Enumeration date
11/19/2013
Last updated
11/19/2013
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