DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: IRENE SANDOVAL CCDC

MEDICARE: IRENE SANDOVAL CCDC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P041OTHERCAP041

General Provider Information

NPI Number : 1023292711
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRENE SANDOVAL CCDC
Provider Business Mailing Address
First Line : 942 S ATLANTIC BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90022-4004
Country : US
Telephone Number : 323-263-9700
Fax Number : 323-263-8042
Provider Business Practice Location Address
First Line : 942 S ATLANTIC BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90022-4004
Country : US
Telephone Number : 323-263-9700
Fax Number : 323-263-8042
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2007
Last Update Date : 12/18/2007

Similar Medicare Providers

1184668410 — NARCOTICS PREVENTION ASSOCIATION INC.
Practice Location Address:
942 S ATLANTIC BLVD
LOS ANGELES, CA
90022-4004
Practice Phone: 323-263-9700
Practice Fax: 323-263-8042
1629007067 — ATEF SAMY TAWFIK MD
Practice Location Address:
942 S ATLANTIC BLVD
LOS ANGELES, CA
90022-4004
Practice Phone: 323-263-9700
Practice Fax: 323-263-8042
1760571608 — DR. PHILIP DAVID KANOF M.D. PH.D.
Practice Location Address:
922 S ATLANTIC BLVD
LOS ANGELES, CA
90022-4004
Practice Phone: 323-500-1099
Practice Fax:
1326181264 — NARCOTICS PREVENTION ASSOCIATION INC
Practice Location Address:
942 S ATLANTIC BLVD
LOS ANGELES, CA
90022-4004
Practice Phone: 323-263-9700
Practice Fax: 323-263-8042
1114108420 — STEVEN BARRAGAN CCDC
Practice Location Address:
942 S ATLANTIC BLVD , 1
LOS ANGELES, CA
90022-4004
Practice Phone: 323-263-9700
Practice Fax: 323-263-8042
1770767469 — IRENE RODRIGUES GARCIA CCDC
Practice Location Address:
942 S ATLANTIC BLVD , 1
LOS ANGELES, CA
90022-4004
Practice Phone: 323-263-9700
Practice Fax: 323-263-8042

Directions to “ IRENE SANDOVAL CCDC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.