Provider Demographics
NPI:1447489810
Name:SAMBRANO, CAROLINE (MS)
Entity type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:
Last Name:SAMBRANO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6318 HOOVER
Mailing Address - Street 2:APT. A
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601
Mailing Address - Country:US
Mailing Address - Phone:562-695-8842
Mailing Address - Fax:
Practice Address - Street 1:6318 HOOVER
Practice Address - Street 2:APT. A
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601
Practice Address - Country:US
Practice Address - Phone:562-695-8842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X235500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist