Individual
CARLOS MIGUEL SANDOVAL
Active
Individual
CARLOS MIGUEL SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
A90738
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD-15248
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000288944
HMSA BILLING NUMBER
HI
05
—
636730-01
—
HI
Enumeration date
03/03/2008
Last updated
12/15/2021
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