Provider Demographics
NPI:1053507475
Name:SANDLER, JOSEPH I (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:I
Last Name:SANDLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2322 S GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-7220
Mailing Address - Country:US
Mailing Address - Phone:323-722-5300
Mailing Address - Fax:323-722-0152
Practice Address - Street 1:2322 S GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-7220
Practice Address - Country:US
Practice Address - Phone:323-722-5300
Practice Address - Fax:323-722-0152
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2024-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA29007207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A290070Medicaid
CAA25620Medicare UPIN
CA00A290070Medicaid