Dr Luis Manuel Sandoval, MD | |
1900 E 4th St, 2nd Floor, Santa Ana, CA 92705-3910 | |
(714) 223-4589 | |
(714) 967-4575 |
Full Name | Dr Luis Manuel Sandoval |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1900 E 4th St, Santa Ana, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033244660 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A98748 (California) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | A98748 (California) | Primary |
Entity Name | Department Of State Hospitals |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
Mailing Address | Practice Location Address |
---|---|
Dr Luis Manuel Sandoval, MD 519 S Pacific Ave, Santa Ana, CA 92703-4420 Ph: (714) 206-3789 | Dr Luis Manuel Sandoval, MD 1900 E 4th St, 2nd Floor, Santa Ana, CA 92705-3910 Ph: (714) 223-4589 |
Dr. Blanca Guadalupe Cervantes, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1800 N Bush St, Suite 104, Santa Ana, CA 92706 Phone: 714-294-6705 Fax: 714-884-4149 | |
Dr. Baljeet Khurana, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2220 E Fruit St, Suite 216, Santa Ana, CA 92701 Phone: 714-626-0085 | |
Elzbieta Maria Sliwa-luce, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 405 W 5th St Ste 212, Santa Ana, CA 92701 Phone: 714-834-2125 | |
Mr. Kevin Chunkai Jou, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 505 N Tustin Ave Ste 150, Santa Ana, CA 92705 Phone: 714-274-7577 | |
Dr. Lawrence Douglas Sporty, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Lawrence D. Sporty, M.d. 2021 East Fourth Street, Suite 118, Santa Ana, CA 92705 Phone: 714-285-0870 | |
Reda Gamal, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1125 E 17th St Suite W-238, Santa Ana, CA 92701 Phone: 714-245-0353 Fax: 714-569-0492 | |
Dr. Weiming David Chu, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 520 N Main St Ste 220, Santa Ana, CA 92701 Phone: 714-352-5800 Fax: 714-352-5801 |