NPI Code Detail JSON Logo

1578299319 NPI number — ALONDRA SANDOVAL

NPI Number: 1578299319
Health Care Provider/Practitioner: ALONDRA SANDOVAL

Information about “1578299319” NPI (ALONDRA SANDOVAL) exists in 1578299319 in HTML format HTML  |  1578299319 in plain Text format TXT  |  1578299319 in PDF (Portable Document Format) PDF  |  1578299319 in an XML format XML  formats.

NPI Number : 1578299319 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578299319",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SANDOVAL",
    "FirstName": "ALONDRA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11829 GLENOAKS BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN FERNANDO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91340-1803",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-464-5695",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4401 CRENSHAW BLVD STE 215",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90043-1200",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "323-291-7100",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/25/2022",
    "LastUpdateDate": "07/25/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "106S00000X",
          "TaxonomyName": "Behavior Technician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "106S00000X",
          "TaxonomyName": "Behavior Technician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.