Provider Demographics
NPI:1447060041
Name:SANDOVAL, PAULA CZARINA CAMANA (FNP-BC)
Entity type:Individual
Prefix:
First Name:PAULA CZARINA
Middle Name:CAMANA
Last Name:SANDOVAL
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21300 SHERMAN WAY STE 3
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-3672
Mailing Address - Country:US
Mailing Address - Phone:818-900-2478
Mailing Address - Fax:
Practice Address - Street 1:2270 E PALMDALE BLVD STE F
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-1334
Practice Address - Country:US
Practice Address - Phone:661-855-4044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-07
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA730377163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical