Provider Demographics
NPI:1790078921
Name:SANDWEISS, DONALD ARTHUR (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:ARTHUR
Last Name:SANDWEISS
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 1:314 SURREY DR
Mailing Address - Street 2:
Mailing Address - City:BONITA
Mailing Address - State:CA
Mailing Address - Zip Code:91902-2325
Mailing Address - Country:US
Mailing Address - Phone:619-479-6234
Mailing Address - Fax:
Practice Address - Street 1:314 SURREY DR
Practice Address - Street 2:
Practice Address - City:BONITA
Practice Address - State:CA
Practice Address - Zip Code:91902-2325
Practice Address - Country:US
Practice Address - Phone:619-479-6234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-20
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC33224207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine