Healthcare Provider Details

I. General information

NPI: 1568705671
Provider Name (Legal Business Name): EMILY ANNE SANDER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY ANNE EASTMAN MD

II. Dates (important events)

Enumeration Date: 03/27/2013
Last Update Date: 03/02/2025
Certification Date: 03/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 LAWRENCE LN
YREKA CA
96097-3341
US

IV. Provider business mailing address

202 LAWRENCE LN
YREKA CA
96097-3341
US

V. Phone/Fax

Practice location:
  • Phone: 530-572-1566
  • Fax:
Mailing address:
  • Phone: 530-572-1566
  • Fax: 888-600-6597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA138803
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License NumberMD209748
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License NumberA138803
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: