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Marco Sandoval
Military Health Care Provider in Anaheim, California
NPI 1124406970

Marco Sandoval is a Military Health Care Provider based in Norwalk, CA. Marco Sandoval practices in Anaheim, CA. The NPI Number for Marco Sandoval is 1124406970 and holds a License No. (California).

The current practice location address for Marco Sandoval is 1661 Raymond Ave, Anaheim, CA and can be reached out via phone at 714-966-8612.

Location: 1661 Raymond Ave, Anaheim, CA, 90650-7936
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124406970
Provider Name
Marco Sandoval
Credential
Provider Entity Type
Individual
Gender
Male
Address
1661 Raymond Ave, Anaheim, CA, 90650-7936
Phone Number
714-966-8612
Fax Number
Provider Enumeration Date
05/13/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1661 Raymond Ave
City
Anaheim
State
California
Zip
92801
Phone Number
714-966-8612
Fax Number
person
Provider Business Mailing Address Details
Address
1661 Raymond Ave
City
Anaheim
State
California
Zip
92801
Phone Number
714-966-8612
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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