So, Sandra

So, Sandra is an sole proprietor health care provider with primary practice located at 12584 Central Ave , Chino CA 91710-3507. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. So, Sandra can be contacted via phone (909) 287-1800.

Contact Information

Primary practice address
12584 Central Ave Chino CA 91710-3507
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A50856 California

Profile Details

NPI number 1184723306
LBN Legal business name So, Sandra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2006
Last updated Jul 8th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1184723306 NPPES
California MEDICAID 00A508560

Popular Providers