Individual
JOSE SERGIO SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2933 WHITTIER BLVD, LOS ANGELES, CA 90023-1528
(323) 263-2669
(323) 263-2673
Mailing address
2933 WHITTIER BLVD, LOS ANGELES, CA 90023-1528
(323) 263-2669
(323) 263-2673
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15741
CA
Other
Enumeration date
05/11/2010
Last updated
03/07/2023
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