Healthcare Provider Details

I. General information

NPI: 1710715982
Provider Name (Legal Business Name): ALEXANDRA SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1216 W AVENUE J
LANCASTER CA
93534-2944
US

IV. Provider business mailing address

1216 W AVENUE J
LANCASTER CA
93534-2944
US

V. Phone/Fax

Practice location:
  • Phone: 626-774-5809
  • Fax:
Mailing address:
  • Phone: 626-774-5809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT161103
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: