Healthcare Provider Details

I. General information

NPI: 1821955543
Provider Name (Legal Business Name): VICTORIA SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 E ROUTE 66 STE 115
GLENDORA CA
91740-6360
US

IV. Provider business mailing address

1200 E ROUTE 66 STE 115
GLENDORA CA
91740-6360
US

V. Phone/Fax

Practice location:
  • Phone: 909-631-6012
  • Fax: 888-498-7286
Mailing address:
  • Phone: 909-631-6012
  • Fax: 888-498-7286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number84375
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: