Provider Demographics
NPI:1528499720
Name:SANDFORD, ADAM (ND)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:
Last Name:SANDFORD
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 N PACIFIC COAST HWY # 1140-A
Mailing Address - Street 2:
Mailing Address - City:EL SEGUNDO
Mailing Address - State:CA
Mailing Address - Zip Code:90245-4475
Mailing Address - Country:US
Mailing Address - Phone:424-321-7788
Mailing Address - Fax:310-693-5492
Practice Address - Street 1:390 N PACIFIC COAST HIGHWAY #1140-A
Practice Address - Street 2:
Practice Address - City:EL SEGUNDO
Practice Address - State:CA
Practice Address - Zip Code:90245-4475
Practice Address - Country:US
Practice Address - Phone:424-321-7788
Practice Address - Fax:310-693-5492
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-12
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND625175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath