Zavala, Sandra M.

Zavala, Sandra M. is an individual health care provider with primary practice located at 5562 Philadelphia St Ste 301 , Chino CA 91710-2499. 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 / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Zavala, Sandra M. can be contacted via phone (909) 566-0445.

Contact Information

Primary practice address
5562 Philadelphia St Ste 301 Chino CA 91710-2499
Phone: (909) 566-0445
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024169503 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN221556 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN.0991802 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95008678 California

Profile Details

NPI number 1710275425
LBN Legal business name Zavala, Sandra M.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2011
Last updated Apr 10th, 2024 - about 7 months 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 1710275425 NPPES
Colorado MEDICAID 57503737

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