Sandoval, Roberto

Sandoval, Roberto is an sole proprietor health care provider with primary practice located at 1128 N Hill Ave , Pasadena CA 91104-3048. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Sandoval, Roberto can be contacted via phone (626) 372-3018.

Contact Information

Primary practice address
1128 N Hill Ave Pasadena CA 91104-3048
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A79015 California

Profile Details

NPI number 1780625913
LBN Legal business name Sandoval, Roberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2007 - about 17 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 1780625913 NPPES
California MEDICAID 00A790150

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