Individual
REGINA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
2440 GRAND AVE, SAN DIEGO, CA 92109-4858
(858) 490-4424
(858) 490-4479
Mailing address
2440 GRAND AVE, SAN DIEGO, CA 92109-4858
(858) 490-4424
(858) 490-4479
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
622957
CA
163WM0102X
Maternal Newborn Registered Nurse
Primary
622957
CA
Other
Enumeration date
03/05/2007
Last updated
09/11/2025
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