Provider Demographics
NPI:1194937508
Name:SAND, MARIAH ANN (MD)
Entity type:Individual
Prefix:DR
First Name:MARIAH
Middle Name:ANN
Last Name:SAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIAH
Other - Middle Name:
Other - Last Name:SCHUMACHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1964 WESTWOOD BLVD STE 125
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-8405
Mailing Address - Country:US
Mailing Address - Phone:310-750-3820
Mailing Address - Fax:
Practice Address - Street 1:1964 WESTWOOD BLVD STE 125
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-8405
Practice Address - Country:US
Practice Address - Phone:310-750-3820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-06
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA116853207W00000X
MI4301106044207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology