MEDICARE: LIZETH SANDOVAL

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1326665290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIZETH SANDOVAL

Provider Business Mailing Address
First Line	:	950 E 3RD ST APT 1527
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90013-2678
Country	:	US
Telephone Number	:	323-947-6556
Fax Number	:

Provider Business Practice Location Address
First Line	:	611 N BRAND BLVD STE 100
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-1221
Country	:	US
Telephone Number	:	747-286-2600
Fax Number	:	747-204-0181

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2020
Last Update Date	:	06/26/2020

Similar Medicare Providers

1003740986 — DR. RICARDO J GUERRA PHD
Practice Location Address:

611 N BRAND BLVD
GLENDALE, CA
91203-1221

Practice Phone: 424-345-7366
Practice Fax:

1568626786 — YESENIA ELIZABETH SIGUENZA
Practice Location Address:

611 N BRAND BLVD
GLENDALE, CA
91203-1221

Practice Phone: 626-655-1046
Practice Fax:

1760037881 — ALLISON HEUN MSP
Practice Location Address:

611 N BRAND BLVD STE 100
GLENDALE, CA
91203-1221

Practice Phone: 747-286-2600
Practice Fax:

1215537642 — HANNAH NICOLE PITTMAN
Practice Location Address:

611 N BRAND BLVD # 100
GLENDALE, CA
91203-1221

Practice Phone: 747-286-2600
Practice Fax:

1649879172 — COURTNEY SUSANNAH SELL
Practice Location Address:

611 N BRAND BLVD # 100
GLENDALE, CA
91203-1221

Practice Phone: 747-286-2600
Practice Fax:

1134721046 — ERIC JONATHAN ONG LEE
Practice Location Address:

611 N BRAND BLVD # 100
GLENDALE, CA
91203-1221

Practice Phone: 747-286-2600
Practice Fax:

Directions to “ LIZETH SANDOVAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.