Individual
JASON SANDSNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
(HHP) (AB) (PT) (SEC
Contact information
Practice address
2525 CAMINO DEL RIO S, SAN DIEGO, CA 92108-3717
(619) 212-1855
Mailing address
3155 CLAIREMONT DR APT 4, SAN DIEGO, CA 92117-6438
(619) 212-1855
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
43130
CA
171100000X
Acupuncturist
43130
CA
225700000X
Massage Therapist
Primary
—
—
282N00000X
General Acute Care Hospital
43130
CA
283X00000X
Rehabilitation Hospital
43130
CA
390200000X
Student in an Organized Health Care Education/Training Program
43130
CA
Other
Enumeration date
03/11/2017
Last updated
10/04/2023
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