Rose Sandoval (NPI# 1215253885, PAC ID# 1951687763) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1215253885 |
| PAC ID by PECOS | 1951687763 |
| Professional Enrollment ID | I20180611002630 |
| Full Name | Rose Sandoval |
| Organization Legal Name | EL DORADO COMMUNITY SERVICE CENTER |
| Address |
4023 Marine Ave Lawndale CA 90260-1840 |
| Phone Number | 3106759555 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4183672645 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4023 Marine Ave, Lawndale, CA 90260-1840 | 3106759555 | EL DORADO COMMUNITY SERVICE CENTER |
| 6265 Sepulveda Blvd, Suite 10, Van Nuys, CA 91411-1127 | 8187790555 | EL DORADO COMMUNITY SERVICE CENTER |
| Organization Legal Name | EL DORADO COMMUNITY SERVICE CENTER |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clymie D Allen | Clinical Social Worker | El Dorado Community Service Center | 4450 W Century Blvd, Inglewood, CA 90304-1504 |
| H Kenneth Fisher | Internal Medicine | El Dorado Community Service Center | 4023 Marine Ave, Lawndale, CA 90260-1840 |
| Vijaya K Katukota | Internal Medicine | El Dorado Community Service Center | 6265 Sepulveda Blvd, Suite 10, Van Nuys, CA 91411-1127 |
| Luzviminda Jarcia Nobleza | Psychiatry | El Dorado Community Service Center | 4023 Marine Ave, Lawndale, CA 90260-1840 |
| Whitney Danielle Johnson | Clinical Social Worker | El Dorado Community Service Center | 4450 W Century Blvd, Inglewood, CA 90304-1504 |
| Lien Ngoc Trinh | Clinical Social Worker | El Dorado Community Service Center | 4023 Marine Ave, Lawndale, CA 90260-1840 |
| Street Address |
4023 MARINE AVE |
| City | LAWNDALE |
| State | CA |
| Zip | 90260-1840 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| H Kenneth Fisher | Internal Medicine | El Dorado Community Service Center | 4023 Marine Ave, Lawndale, CA 90260-1840 |
| Luzviminda Jarcia Nobleza | Psychiatry | El Dorado Community Service Center | 4023 Marine Ave, Lawndale, CA 90260-1840 |
| Lien Ngoc Trinh | Clinical Social Worker | El Dorado Community Service Center | 4023 Marine Ave, Lawndale, CA 90260-1840 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle B Mohageg | Family Medicine | Healthcare Partners Affiliates Medical Group | 5400 W Rosecrans Ave, Suite 100, Lawndale, CA 90260-1124 |
| Gustavo Casillas | Family Medicine | Healthcare Partners Affiliates Medical Group | 5400 W Rosecrans Ave, Suite 100, Lawndale, CA 90260-1124 |
| Moosa Kohanim | Orthopedic Surgery | 14516 Hawthorne Blvd, Lawndale, CA 90260-1519 | |
| Anoushiravan Ehya | Orthopedic Surgery | Kohanim Medical Corporation | 14516 Hawthorne Blvd, Lawndale, CA 90260-1519 |
| Clifford J Merlo | Radiation Oncology | Micha Rettenmaier Brown and Lacey A California Partnership | 14608 Hawthorne Blvd, Lawndale, CA 90260-1521 |
| Chad Sila | Radiation Oncology | Micha Rettenmaier Brown and Lacey A California Partnership | 14608 Hawthorne Blvd, Lawndale, CA 90260-1521 |
| Henrick S Macalintal | Physical Therapy | 14708 Hawthorne Blvd, Lawndale, CA 90260-1523 | |
| Sara J Earley | Clinical Social Worker | Los Angeles County Department of Mental Health | 14623 Hawthorne Blvd, Suite 400, Lawndale, CA 90260-1581 |
| Eric A Enriquez | Family Medicine | 14623 Hawthorne Blvd, Suite 202, Lawndale, CA 90260-1589 | |
| Simon R Go | Chiropractic | 14623 Hawthorne Blvd, Suite 206, Lawndale, CA 90260-1589 | |
| Find all physicians in zip 90260 | |||
| City | LAWNDALE |
| Zip Code | 90260 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAWNDALE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Rose Sandoval.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.