Healthcare Provider Details

I. General information

NPI: 1275952400
Provider Name (Legal Business Name): LORRAINE SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2014
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 E WARDLOW RD
LONG BEACH CA
90807-4630
US

IV. Provider business mailing address

804 W WASHINGTON AVE APT 11
SANTA ANA CA
92706-3895
US

V. Phone/Fax

Practice location:
  • Phone: 562-788-7252
  • Fax:
Mailing address:
  • Phone: 657-709-2002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: