Provider Demographics
NPI:1164656419
Name:SANDLER, LEE NEIL (MD)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:NEIL
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 1:33971 SELVA RD
Mailing Address - Street 2:STE #150
Mailing Address - City:DANA POINT
Mailing Address - State:CA
Mailing Address - Zip Code:92629-3735
Mailing Address - Country:US
Mailing Address - Phone:949-493-6633
Mailing Address - Fax:949-493-0669
Practice Address - Street 1:33971 SELVA RD
Practice Address - Street 2:STE #150
Practice Address - City:DANA POINT
Practice Address - State:CA
Practice Address - Zip Code:92629-3788
Practice Address - Country:US
Practice Address - Phone:949-493-6633
Practice Address - Fax:949-493-0669
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG356852084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry