Cornejo, Sandra Suzanna

Cornejo, Sandra Suzanna is an individual health care provider with primary practice located at 68625 Perez Rd Ste 11A , Cathedral City CA 92234-7250. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Cornejo, Sandra Suzanna can be contacted via phone (760) 773-6767.

Contact Information

Primary practice address
68625 Perez Rd Ste 11A Cathedral City CA 92234-7250
Phone: (760) 773-6767
Fax: (760) 773-6760
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CALPU1-224-101111S California

Profile Details

NPI number 1316069180
LBN Legal business name Cornejo, Sandra Suzanna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Dec 22nd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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