MEDICARE: CARLA SANCHEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2355S0801X	Speech-Language Assistant	SPA1694	CA
2	235Z00000X	Speech-Language Pathologist	28000	CA

General Provider Information

NPI Number	:	1063847218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLA SANCHEZ

Provider Business Mailing Address
First Line	:	802 MUSCATEL AVE
Second Line	:
City	:	ROSEMEAD
State	:	CA
Zip	:	91770-4320
Country	:	US
Telephone Number	:	213-220-9536
Fax Number	:

Provider Business Practice Location Address
First Line	:	2410 FINDLAY AVE
Second Line	:
City	:	MONTEREY PARK
State	:	CA
Zip	:	91754-7017
Country	:	US
Telephone Number	:	323-721-4335
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2013
Last Update Date	:	04/07/2020

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Directions to “ CARLA SANCHEZ ” Practice Location

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