Provider / Organization | NPI | Date Certified |
---|---|---|
SALLY KANDAH | 1922593631 | 2021-10-10 |
Sally Kandah is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1922593631. Registration indicates Sally Kandah is a provider of access to pediatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Pediatrics (Allopathic & Osteopathic Physicians, Pediatrics) (Pediatrics, ) (Primary Care/Family Planning/APRN/PA, ) (Pediatrics, Allopathic & Osteopathic Physicians) Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Pediatrics) (Allopathic & Osteopathic Physicians, Pediatrics) (Pediatrics, ) (Primary Care/Family Planning/APRN/PA, ) (Pediatrics, Allopathic & Osteopathic Physicians)
Entity Type | Individual |
Provider Name | Sally Kandah MD |
Practice Office Address | 14011 PARK AVE VICTORVILLE, CA US |
Practice Office Telephone | 8335742273 |
Mailing Address | 14011 PARK AVE VICTORVILLE, CA 923922413 US |
Carequality [C-CDA] | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) Southern California Permanente Medical Group |
Code | Practice | License No State |
---|---|---|
208000000X | Access to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Pediatrics Allopathic & Osteopathic Physicians Pediatrics Pediatrics Primary Care/Family Planning/APRN/PA Pediatrics Allopathic & Osteopathic Physicians | MT216895
PA |
208000000X PRIMARY | Access to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Pediatrics Allopathic & Osteopathic Physicians Pediatrics Pediatrics Primary Care/Family Planning/APRN/PA Pediatrics Allopathic & Osteopathic Physicians | 173971
CA |