Provider Demographics
NPI:1356932230
Name:ADAM SANDFORD NATUROPATHIC DOCTOR PC
Entity type:Organization
Organization Name:ADAM SANDFORD NATUROPATHIC DOCTOR PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDFORD
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:206-335-0155
Mailing Address - Street 1:390 N PACIFIC COAST HWY # 1140-A
Mailing Address - Street 2:
Mailing Address - City:EL SEGUNDO
Mailing Address - State:CA
Mailing Address - Zip Code:90245-4475
Mailing Address - Country:US
Mailing Address - Phone:206-335-0155
Mailing Address - Fax:
Practice Address - Street 1:390 N PACIFIC COAST HWY # 1140-A
Practice Address - Street 2:
Practice Address - City:EL SEGUNDO
Practice Address - State:CA
Practice Address - Zip Code:90245-4475
Practice Address - Country:US
Practice Address - Phone:206-335-0155
Practice Address - Fax:310-693-5492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-02
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty