MEDICARE: ALONDRA SANDOVAL LARA

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	363L00000X	Nurse Practitioner	95037505	CA

General Provider Information

NPI Number	:	1396608493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALONDRA SANDOVAL LARA

Provider Business Mailing Address
First Line	:	25301 CABOT RD
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-5523
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	25301 CABOT RD STE 103
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-5511
Country	:	US
Telephone Number	:	949-200-6001
Fax Number	:

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

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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Directions to “ ALONDRA SANDOVAL LARA ” Practice Location

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