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NPI Code Detail

MEDICARE: ZOFIA RAQUEL SANDOVAL

MEDICARE:   ZOFIA RAQUEL 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
1101Y00000XCounselorR1333220119CA
2390200000XStudent in an Organized Health Care Education/Training Program
31041C0700XClinical Social Worker130802CA

General Provider Information

NPI Number : 1699256032
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZOFIA RAQUEL SANDOVAL
Provider Business Mailing Address
First Line : 222 S HILL ST STE 600
Second Line :
City : LOS ANGELES
State : CA
Zip : 90012-3523
Country : US
Telephone Number : 213-255-9753
Fax Number :
Provider Business Practice Location Address
First Line : 222 S HILL ST STE 600
Second Line :
City : LOS ANGELES
State : CA
Zip : 90012-3523
Country : US
Telephone Number : 213-255-9753
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2018
Last Update Date : 08/05/2025

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Directions to “ ZOFIA RAQUEL SANDOVAL ” Practice Location

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