Healthcare Provider Details

I. General information

NPI: 1518622992
Provider Name (Legal Business Name): MONICA SAMANTHA SANCHEZ LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2021
Last Update Date: 05/03/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2755 ARROW HWY
LA VERNE CA
91750-5681
US

IV. Provider business mailing address

2755 ARROW HWY SPC 141
LA VERNE CA
91750-5628
US

V. Phone/Fax

Practice location:
  • Phone: 626-620-1122
  • Fax:
Mailing address:
  • Phone: 626-620-1122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number712372
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number0339438
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number0339438
License Number StateCO
# 6
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number712372
License Number StateCA
# 7
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA
# 8
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number712372
License Number StateCA
# 9
Primary TaxonomyN
Taxonomy Code167G00000X
TaxonomyLicensed Psychiatric Technician
License Number712372
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: