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Cesar R Sandoval

Registered Nurse in Anaheim, CA. Individual provider (NPI-1).

NPI number1174131981
StatusActive
Last updated in NPPESMay 10, 2022

Details

NPI
1174131981
Entity type
Individual (NPI-1)
Name
Cesar R Sandoval
Sex
Male
Sole proprietor
No
Enumeration date
Jul 17, 2020
Certification date
May 10, 2022
Last updated
May 10, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse95271814CAYes
101YM0800X Counselor, Mental Health––

Practice location

2026 W Beacon Ave
Anaheim, CA 92804-4406

Phone 657-276-7030

Mailing address

2026 W Beacon Ave
Anaheim, CA 92804-4406

Phone 657-276-7030

Other practice locations

1501 Hughes Way Ste 150
Long Beach, CA 90810-1878

Phone 310-221-6636

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