Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | A29007 | CA |
NPI | 1053507475 |
---|---|
Provider Name | Joseph I Sandler |
First Address | Monterey Park, CA 91754-7220 |
Second Address | Monterey Park, CA 91754-7220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2007 |
Last Update Date | 05/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A290070 | (05) | CA |
A25620 | (02) | CA |