Healthcare Provider Details

I. General information

NPI: 1497836605
Provider Name (Legal Business Name): RICHARD SANCHEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1745 W ORANGEWOOD AVE SUITE 103
ORANGE CA
92868-2004
US

IV. Provider business mailing address

9851 HIBISCUS DR
GARDEN GROVE CA
92841-1718
US

V. Phone/Fax

Practice location:
  • Phone: 714-221-6400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: