Healthcare Provider Details

I. General information

NPI: 1740313592
Provider Name (Legal Business Name): SANDRA FERNANDA BARAJAS MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2234 N BELLFLOWER BLVD
LONG BEACH CA
90815-7056
US

IV. Provider business mailing address

2234 N BELLFLOWER BLVD
LONG BEACH CA
90815-7056
US

V. Phone/Fax

Practice location:
  • Phone: 323-274-9219
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number141871
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: