| Dr Alexis Lizeth Sandoval, DO | |
|
12742 Limonite Ave, Eastvale, CA 92880-9630 | |
| (951) 739-2745 | |
| (951) 371-6587 |
| Full Name | Dr Alexis Lizeth Sandoval |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Dr Alexis Lizeth Sandoval, DO 12742 Limonite Ave, Eastvale, CA 92880-9630 Ph: (951) 739-2745 | Dr Alexis Lizeth Sandoval, DO 12742 Limonite Ave, Eastvale, CA 92880-9630 Ph: (951) 739-2745 |
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 |