Provider Demographics
NPI:1629473392
Name:SALES, WINDY PAGUIO (BUSINESS OWNER)
Entity Type:Individual
Prefix:
First Name:WINDY
Middle Name:PAGUIO
Last Name:SALES
Suffix:
Gender:F
Credentials:BUSINESS OWNER
Other - Prefix:
Other - First Name:WINDY
Other - Middle Name:PAGUIO
Other - Last Name:SPINOSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BUSINESS OWNER
Mailing Address - Street 1:450 N BRAND BLVD
Mailing Address - Street 2:STE. 600
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-2347
Mailing Address - Country:US
Mailing Address - Phone:818-441-8418
Mailing Address - Fax:818-291-6259
Practice Address - Street 1:450 N BRAND BLVD
Practice Address - Street 2:STE. 600
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-2347
Practice Address - Country:US
Practice Address - Phone:818-441-8418
Practice Address - Fax:818-291-6259
Is Sole Proprietor?:No
Enumeration Date:2014-10-23
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA471732998171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator