Healthcare Provider Details

I. General information

NPI: 1356557839
Provider Name (Legal Business Name): SARAH SANDELL, M.D., SUSAN SLEEP, M.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10931 CHERRY ST SUITE 200
LOS ALAMITOS CA
90720-2445
US

IV. Provider business mailing address

10931 CHERRY ST SUITE 200
LOS ALAMITOS CA
90720-2445
US

V. Phone/Fax

Practice location:
  • Phone: 562-936-0292
  • Fax: 562-936-1943
Mailing address:
  • Phone: 562-936-0292
  • Fax: 562-936-1943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name: LUCY SANCHEZ
Title or Position: ACCOUNTS PAYABLE
Credential:
Phone: 562-936-0292