MEDICARE: SANDRA SLOAN

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	NP95037161	CA

General Provider Information

NPI Number	:	1326913252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA SLOAN

Provider Business Mailing Address
First Line	:	PO BOX 9122
Second Line	:
City	:	MARINA DEL REY
State	:	CA
Zip	:	90295-1522
Country	:	US
Telephone Number	:	310-721-2638
Fax Number	:	310-469-9073

Provider Business Practice Location Address
First Line	:	10323 SANTA MONICA BLVD STE 108
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-5056
Country	:	US
Telephone Number	:	310-340-0089
Fax Number	:	310-469-9073

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2025
Last Update Date	:	03/25/2026

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Directions to “ SANDRA SLOAN ” Practice Location

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