Sandoval, Antonieta

Sandoval, Antonieta is an sole proprietor health care provider with primary practice located at 205 Pasadena Ave , South Pasadena CA 91030-2919. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Sandoval, Antonieta can be contacted via phone (323) 344-5536.

Contact Information

Primary practice address
205 Pasadena Ave South Pasadena CA 91030-2919
Phone: (323) 344-5536
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1861526261
LBN Legal business name Sandoval, Antonieta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Nov 7th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861526261 NPPES
California Other 7368 MEDI-CAL
California Other 7708 MEDI-CAL
California Other 7667 MEDI-CAL
California Other 7184 MEDI-CAL

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