Sands Travelers Pt, Inc. in Portola - Specialist
Sands Travelers Pt, Inc. - NPI 1033262548
Sands Travelers Pt, Inc. is a Specialist in Portola, California. Sands Travelers Pt, Inc. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Sands Travelers Pt, Inc. is 1033262548. The last update date is 2009-09-08.
Sands Travelers Pt, Inc.'s current location address is 72795 S Delleker, Portola, California. You can contact this provider via phone number 5302830313. The mailing address for Sands Travelers Pt, Inc. is 72795 S Delleker, Portola, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sands Travelers Pt, Inc. |
|---|---|
| Address | 72795 S Delleker, Portola, California |
| Phone Number | 5302830313 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Pesina Reynaldo |
| Credentials | PT |
| Telephone Number | 5302830313 |
NPI Number Detail
| NPI Number | 1033262548 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2009-09-08 |
Provider Mailing Address Detail
| Address | 72795 S Delleker |
|---|---|
| City | Portola |
| State | California (CA) |
| Post Code | 96122 |
| Phone Number | 5302830313 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 171530200 | CA | DEPARTMENT OF LABOR | |
| ZZZ03308Z | CA | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Sands Travelers Pt, Inc. by the Centers for Medicare & Medicaid Services?
The Sands Travelers Pt, Inc. has been issued the NPI (National Provider Identifier) 1033262548, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Sands Travelers Pt, Inc.'s facilities are situated?
The facilities of Sands Travelers Pt, Inc. are physically located at the following address: 72795 S Delleker, Portola, CA, 96122.
What is Sands Travelers Pt, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Sands Travelers Pt, Inc.'s specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033262548 to Sands Travelers Pt, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1033262548 to Sands Travelers Pt, Inc. on 2007-01-19.
As of what date were the details pertaining to Sands Travelers Pt, Inc. last refreshed?
The information related to the Sands Travelers Pt, Inc., including its address, specialty, and other relevant details, was last updated on 2009-09-08.