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NPI Code Detail

MEDICARE: SANDRA SASSO NMW

MEDICARE:   SANDRA  SASSO  NMW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WW0101XAmbulatory Women's Health Care Registered Nurse731CA
2367A00000XAdvanced Practice Midwife731CA

General Provider Information

NPI Number : 1093014029
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA SASSO NMW
Provider Business Mailing Address
First Line : 2011 WILSHIRE BLVD STE 300
Second Line :
City : LOS ANGELES
State : CA
Zip : 90057-3503
Country : US
Telephone Number : 213-205-1890
Fax Number : 213-758-0064
Provider Business Practice Location Address
First Line : 2007 WILSHIRE BLVD FL 3
Second Line :
City : LOS ANGELES
State : CA
Zip : 90057-3519
Country : US
Telephone Number : 213-205-1890
Fax Number : 137-580-0642
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2011
Last Update Date : 03/29/2026

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Directions to “ SANDRA SASSO NMW” Practice Location

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