Individual
ANDREW SHAYNE SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6060 N PARAMOUNT BLVD, LONG BEACH, CA 90805-3711
(310) 279-9491
Mailing address
6060 N PARAMOUNT BLVD, LONG BEACH, CA 90805-3711
(310) 279-9491
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
760833
CA
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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