Tan, Angie-Kolleen Sandico

Tan, Angie-Kolleen Sandico is an sole proprietor health care provider with primary practice located at 9606 Cherry Hill St , Pacoima CA 91331-1514. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Tan, Angie-Kolleen Sandico can be contacted via phone (323) 620-7412.

Contact Information

Primary practice address
9606 Cherry Hill St Pacoima CA 91331-1514
Phone: (323) 620-7412
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 775609 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP95006893 California

Profile Details

NPI number 1063961324
LBN Legal business name Tan, Angie-Kolleen Sandico
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2016
Last updated Oct 17th, 2017 - about 7 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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