Healthcare Provider Details

I. General information

NPI: 1295669729
Provider Name (Legal Business Name): NOE SANCHEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 S BEAUDRY AVE
LOS ANGELES CA
90017-1466
US

IV. Provider business mailing address

623 HOLLAND AVE
LOS ANGELES CA
90042-3224
US

V. Phone/Fax

Practice location:
  • Phone: 323-838-6000
  • Fax:
Mailing address:
  • Phone: 818-577-0069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number27483
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: