Provider Demographics
NPI:1871675876
Name:SAND, NANCY F (MD)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:F
Last Name:SAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1964 WESTWOOD BLVD
Mailing Address - Street 2:SUITE 125
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-4651
Mailing Address - Country:US
Mailing Address - Phone:310-441-2263
Mailing Address - Fax:310-441-2265
Practice Address - Street 1:1964 WESTWOOD BLVD
Practice Address - Street 2:SUITE 125
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-4651
Practice Address - Country:US
Practice Address - Phone:310-441-2263
Practice Address - Fax:310-441-2265
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA46342207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWA46342JMedicare ID - Type UnspecifiedPPIN
CAF30618Medicare UPIN