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NPI Code Detail

MEDICARE: VERONICA KAY SANDOVAL

MEDICARE: VERONICA KAY SANDOVAL
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
1225200000XPhysical Therapy Assistant2705CA

General Provider Information

NPI Number : 1487218301
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERONICA KAY SANDOVAL
Provider Business Mailing Address
First Line : 7400 ARTESIA BLVD APT 603
Second Line :
City : BUENA PARK
State : CA
Zip : 90621-1899
Country : US
Telephone Number : 714-333-5302
Fax Number :
Provider Business Practice Location Address
First Line : 3850 E ESTHER ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90804-2009
Country : US
Telephone Number : 562-498-3368
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2019
Last Update Date : 04/25/2019

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Directions to “ VERONICA KAY SANDOVAL ” Practice Location

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