Healthcare Provider Details

I. General information

NPI: 1972217818
Provider Name (Legal Business Name): ERICA OLIVIA SANCHEZ RN, PHN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2023
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 GRAND AVE STE 115
LONG BEACH CA
90815-1765
US

IV. Provider business mailing address

2525 GRAND AVE STE 115
LONG BEACH CA
90815-1765
US

V. Phone/Fax

Practice location:
  • Phone: 562-570-4225
  • Fax: 562-570-4106
Mailing address:
  • Phone: 562-570-4225
  • Fax: 562-570-4106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95126098
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number559033
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: