| Sandra Gildersleeve, MD | |
|
1941 Huntington Dr Ste C, South Pasadena, CA 91030-4994 | |
| (626) 514-0315 | |
| Not Available |
| Full Name | Sandra Gildersleeve |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1941 Huntington Dr Ste C, South Pasadena, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881091551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A129639 (California) | Primary |
| Entity Name | Childrens Hospital Los Angeles Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522 |
| Entity Name | The Huntington Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154467181 PECOS PAC ID: 4587631601 Enrollment ID: O20040923000968 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Gildersleeve, MD 1941 Huntington Dr Ste C, South Pasadena, CA 91030-4994 Ph: (626) 344-7830 | Sandra Gildersleeve, MD 1941 Huntington Dr Ste C, South Pasadena, CA 91030-4994 Ph: (626) 514-0315 |
Harry Max Lieberman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1944 Milan Ave, South Pasadena, CA 91030 Phone: 626-487-9310 Fax: 626-441-3159 |
Norianne Martinez Pimentel-piatt, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 625 Fair Oaks Ave Ste 175, South Pasadena, CA 91030 Phone: 626-598-3770 |
Lourdes F Mosqueda, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1800 Fair Oaks Ave Ste B, South Pasadena, CA 91030 Phone: 626-399-0594 Fax: 626-313-2834 |