Healthcare Provider Details

I. General information

NPI: 1609444199
Provider Name (Legal Business Name): ANNA ENID SANCHEZ DE RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2021
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5770 RIVERSIDE DR BLDG 601
MARCH AIR RESERVE BASE CA
92518-1838
US

IV. Provider business mailing address

23821 STANHURST AVE
TORRANCE CA
90501-6136
US

V. Phone/Fax

Practice location:
  • Phone: 951-655-5167
  • Fax:
Mailing address:
  • Phone: 909-252-2427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95039569
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: