Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 00A631780 | CA |
Y | 111NI0900X | Internist | 00A631780 | CA |
N | 207RP1001X | Pulmonary Disease | 00A631780 | CA |
NPI | 1013997030 |
---|---|
Provider Name | Dr. Christian E Sandrock |
First Address | Rancho Cordova, CA 95670-7956 |
Second Address | Sacramento, CA 95816 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2006 |
Last Update Date | 02/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A631781 | (05) | CA |
G92850 | (02) |