Individual
CARLOS ADRIAN SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11234 ANDERSON ST, GME OFFICE WESTERLY SUITE C, LOMA LINDA, CA 92354-2804
(909) 558-4015
Mailing address
11234 ANDERSON ST RM 2532, LOMA LINDA, CA 92354-2804
(909) 558-4475
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A140851
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
A140851
CA
Other
Enumeration date
05/14/2014
Last updated
11/30/2021
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