Rudolph Sandoval
Peer Specialist in Long Beach, CA. Individual provider (NPI-1).
NPI number1023979481
StatusActive
Last updated in NPPESNov 24, 2025
Details
- NPI
- 1023979481
- Entity type
- Individual (NPI-1)
- Name
- Rudolph Sandoval
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 24, 2025
- Certification date
- Nov 24, 2025
- Last updated
- Nov 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | MPSS-VUTMZB | CA | Yes |
Practice location
5861 Cherry AveLong Beach, CA 90805-4405
Phone 562-676-4259
Mailing address
12070 Telegraph RdSanta Fe Springs, CA 90670-3771
Phone 562-777-7500
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All 65 Peer Specialist providers in Long Beach · All 16,615 providers in Long Beach
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