Individual
MR. ANTHONY GABRIEL SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11277 GARDEN GROVE BLVD STE 100, GARDEN GROVE, CA 92843-1300
(714) 620-8131
Mailing address
11277 GARDEN GROVE BLVD STE 100, GARDEN GROVE, CA 92843-1300
(714) 620-8131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW89940
CA
Other
Enumeration date
03/25/2020
Last updated
05/19/2020
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