Individual
ELLENE SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18533 SOLEDAD CANYON RD, SANTA CLARITA, CA 91351-3722
(661) 673-8800
Mailing address
14314 SEQUOIA RD, CANYON COUNTRY, CA 91387-6201
(661) 618-9320
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A178160
CA
Other
Enumeration date
03/30/2019
Last updated
01/23/2026
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