Individual
RICARDO SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5917 CONVERSE AVE, LOS ANGELES, CA 90001-1409
(323) 423-9030
Mailing address
5715 S BROADWAY, LOS ANGELES, CA 90037-4131
(323) 948-0444
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
A5018449
CA
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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