Healthcare Provider Details

I. General information

NPI: 1992646384
Provider Name (Legal Business Name): MS. LESLIE ANDREA SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3455 PERCY ST
LOS ANGELES CA
90023-1716
US

IV. Provider business mailing address

2547 POPLAR PL
HUNTINGTON PARK CA
90255-6709
US

V. Phone/Fax

Practice location:
  • Phone: 323-268-2100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: