Individual
SANDRA GHATAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
26500 AGOURA RD STE 102-391, CALABASAS, CA 91302-1952
(310) 210-1256
(980) 217-2200
Mailing address
26500 AGOURA RD STE 102-391, CALABASAS, CA 91302-1952
(310) 210-1256
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
F04240316
CA
Other
Enumeration date
06/17/2024
Last updated
05/20/2025
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