Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | G86818 | CA |
NPI | 1902932726 |
---|---|
Provider Name | Dr. Karen Lynne Hord-Sandquist |
First Address | Santa Maria, CA 93454-4404 |
Second Address | Santa Maria, CA 93454-4404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 08/07/2007 |