Individual
MR. BRYAN FELIPE SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3650 SOUTH ST, LAKEWOOD, CA 90712-1502
(562) 633-6353
(562) 633-4996
Mailing address
8559 SAN JACINTO CT, RANCHO CUCAMONGA, CA 91730-4338
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA58130
CA
Other
Enumeration date
07/31/2019
Last updated
07/22/2025
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