MEDICARE: RACHELLE MONSERRATH NUNO-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	373H00000X	Day Training/Habilitation Specialist
2	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1669127411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHELLE MONSERRATH NUNO-SANCHEZ

Provider Business Mailing Address
First Line	:	16911 BELLFLOWER BLVD
Second Line	:
City	:	BELLFLOWER
State	:	CA
Zip	:	90706-5903
Country	:	US
Telephone Number	:	818-630-7480
Fax Number	:	562-677-8257

Provider Business Practice Location Address
First Line	:	805 N CENTRAL AVE
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-1230
Country	:	US
Telephone Number	:	818-630-7480
Fax Number	:

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

Provider Enumeration Date	:	02/18/2022
Last Update Date	:	05/01/2025

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