Sandy Abdou
Individual provider Active NPI Pharmacist · Marina del Rey, CA
NPI 1235019787 · NPPES record last updated Sep 4, 2025
Key facts
- NPI
- 1235019787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 90967 (CA)
- Practice address
- 13171 Mindanao Way
Marina del Rey, CA 90292-6307 - Phone
- (310) 821-8908
- NPI assigned
- Sep 4, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90967 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 90967 | CA | Yes |
Addresses
Primary practice location
13171 Mindanao Way
Marina del Rey, CA 90292-6307
Mailing address
13171 Mindanao Way
Marina del Rey, CA 90292-6307
Other providers in Marina del Rey, CA
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- Samar Abbasher
- Anna Grayce Abel
- Shahram Shawn Abrishamy
- Monique Rochelle Acosta
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- Prabidhi Adhikari
All providers in Marina del Rey, CA · Pharmacist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.