Sandoval, Maggie R
Sandoval, Maggie R is an sole proprietor health care provider with primary practice located at 635 S Westlake Ave , Los Angeles CA 90057-3508. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Sandoval, Maggie R can be contacted via phone (213) 484-8987.Contact Information
Primary practice address
635 S Westlake Ave
Los Angeles CA 90057-3508
Phone: (213) 484-8987
Fax: (213) 484-8605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | NMW01110 | California |
Profile Details
| NPI number | 1922136555 |
|---|---|
| LBN Legal business name | Sandoval, Maggie R |
| Credentials | NMW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922136555 | NPPES |
| California | MEDICAID | NMW011100 |
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