| Organization Name: | SANDRA SANDS, D.O., PH.D., INC. |
| NPI Number: | 1043493158 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SANDRA SORAYA SANDS (PHYSICIAN) |
| Mailing Address: | 326 S Melrose Dr Units A & B Vista |
| State: | CA US |
| Postal Code: | 92081 |
| Phone Number: | 7605002606 |
| Fax Number: | |
| NPI Enumeration Date: | 12/11/2007 |
| NPI Last Update Date: | 07/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | 20A9069 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |