What is Mincie Sandoval's NPI number?

The NPI number assigned to this healthcare provider is 1801573373, enumerated as a individual on June 28, 2023.

Where is the provider located?

The provider is located at 2220 GIRARD ST SAN JACINTO, CA 92583 and the phone number is (951) 683-6596.

What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

MINCIE MICHELLE SANDOVAL - NPI 1801573373 - Peer Specialist in San Jacinto, CA

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About Mincie Michelle Sandoval NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINCIE MICHELLE SANDOVAL (NPI 1801573373) is an individual peer specialist in San Jacinto, California and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1801573373

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameMINCIE MICHELLE SANDOVAL

Location Address2220 GIRARD STSan Jacinto, CA 92583-5301

Mailing Address5870 Arlington AveRiverside, CA 92504-2037 · (951) 683-6596

Phone(951) 683-6596

Sole ProprietorYes

Enumeration DateJune 28, 2023

NPPES CertifiedJune 28, 2023

✔ NPI 1801573373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

2220 GIRARD ST, San Jacinto, CA 92583

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. THERESA ELIZABETH BULLARD C A S II

Counselor (Addiction (Substance Use Disorder))