Healthcare Provider Details

I. General information

NPI: 1689971855
Provider Name (Legal Business Name): JUAN FRANCICO SANCHEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2011
Last Update Date: 02/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 N MURRAY ST
BANNING CA
92220-5528
US

IV. Provider business mailing address

245 N MURRAY ST
BANNING CA
92220-5528
US

V. Phone/Fax

Practice location:
  • Phone: 951-849-8812
  • Fax: 951-755-8915
Mailing address:
  • Phone: 951-849-8812
  • Fax: 951-755-8915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: