Healthcare Provider Details

I. General information

NPI: 1467946731
Provider Name (Legal Business Name): RALPH ANGEL SANCHEZ RALPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: RALPH ANGEL SANCHEZ

II. Dates (important events)

Enumeration Date: 06/19/2018
Last Update Date: 02/15/2020
Certification Date: 02/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13001 RAMONA BLVD STE 1
IRWINDALE CA
91706
US

IV. Provider business mailing address

13001 RAMONA BLVD STE I
IRWINDALE CA
91706-3752
US

V. Phone/Fax

Practice location:
  • Phone: 626-254-5000
  • Fax:
Mailing address:
  • Phone: 626-337-3828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: