Organization
SANDRA MADRID M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA MADRID M.D. (PRESIDENT/OWNER)
(562) 693-0725
Entity
Organization
Contact information
Practice address
12462 WASHINGTON BLVD, WHITTIER, CA 90602-1005
(562) 693-0725
(562) 693-2468
Mailing address
12462 WASHINGTON BLVD, WHITTIER, CA 90602-1005
(562) 693-0725
(562) 693-2468
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G41890
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G418900
—
CA
Enumeration date
08/10/2006
Last updated
02/02/2011
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