Individual
ADAM ABRAHAM SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9462 VAN NUYS BLVD, PANORAMA CITY, CA 91402-1310
(818) 891-8555
Mailing address
9462 VAN NUYS BLVD, PANORAMA CITY, CA 91402-1310
(818) 891-8555
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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