Healthcare Provider Details

I. General information

NPI: 1154882959
Provider Name (Legal Business Name): SAUL SANCHEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2019
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 W BALL RD STE 4A
ANAHEIM CA
92804-5589
US

IV. Provider business mailing address

1720 W BALL RD STE 4A
ANAHEIM CA
92804-5589
US

V. Phone/Fax

Practice location:
  • Phone: 714-257-5534
  • Fax: 714-386-7019
Mailing address:
  • Phone: 714-257-5534
  • Fax: 714-386-7019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2833766
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: