Most Relevant Information
Provider Data
| NPI Number: | 1003424698 |
| Provider Name: | TINA SANDOVAL |
| Entity Type: | Individual |
| Taxonomy Code: | 225400000X |
| Specialty: | Rehabilitation Practitioner |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/20/2020 |
| Last Updated: | 07/20/2020 |
Provider Practice Location
2677 ZOE AVE STE 304
HUNTINGTON PARK
CA
902553699
Practice Location Phone/Fax
| Phone: | 3233460960 |
| Fax: | 3233460966 |
Provider Mailing Location
2677 ZOE AVE STE 304
HUNTINGTON PARK
CA
902553699
Provider Mailing Phone/Fax
| Phone: | 3233460960 |
| Fax: | 3233460966 |