Individual
JOANNA CALDERON-SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
507 S ATLANTIC BLVD, LOS ANGELES, CA 90022-2621
(323) 268-9191
Mailing address
507 S ATLANTIC BLVD, LOS ANGELES, CA 90022-2621
(323) 268-9191
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
150994
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2016
Last updated
06/21/2019
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