Dr Alexis Lizeth Sandoval, DO | |
12742 Limonite Ave, Eastvale, CA 92880-9630 | |
(951) 683-6370 | |
Not Available |
Full Name | Dr Alexis Lizeth Sandoval |
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Gender | Female |
Speciality | Pediatrics |
Location | 12742 Limonite Ave, Eastvale, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447614102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 20A18600 (California) | Primary |
Entity Name | Albany Medical College |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629008537 PECOS PAC ID: 1759293111 Enrollment ID: O20031125000386 |
Entity Name | Albany Medical College |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621 |
Mailing Address | Practice Location Address |
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Dr Alexis Lizeth Sandoval, DO 12742 Limonite Ave, Eastvale, CA 92880-9630 Ph: (951) 683-6370 | Dr Alexis Lizeth Sandoval, DO 12742 Limonite Ave, Eastvale, CA 92880-9630 Ph: (951) 683-6370 |
Dr. Anthony Nguyen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12742 Limonite Ave, Eastvale, CA 92880 Phone: 951-739-2750 Fax: 951-371-6587 | |
Ms. Roberta L Pickett, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12742 Limonite Avenue, Eastvale, CA 92880 Phone: 951-739-2710 Fax: 951-371-6587 |