Individual
DR. MAJA K SANDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
963 BUTTE ST, REDDING, CA 96001-0828
(530) 244-3921
(530) 244-5639
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
21303
IA
208600000X
Surgery Physician
Primary
C41523
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C415230
—
CA
05
—
1609870328
—
CA
01
—
5950525
CIGNA
CA
01
—
P01607851
RR MEDICARE
CA
Enumeration date
06/09/2005
Last updated
05/02/2016
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