Individual
KITZY MARIE SANDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3125 N BROADWAY, LOS ANGELES, CA 90031-2703
(213) 348-4039
Mailing address
3125 N BROADWAY, LOS ANGELES, CA 90031-2703
(213) 348-4039
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
32345
CA
Other
Enumeration date
05/25/2016
Last updated
04/17/2026
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