Healthcare Provider Details

I. General information

NPI: 1912862053
Provider Name (Legal Business Name): ANDREA SANCHEZ OTD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3745 W CHAPMAN AVE STE 200
ORANGE CA
92868-1656
US

IV. Provider business mailing address

3690 WINDSONG CIR
YORBA LINDA CA
92886-6946
US

V. Phone/Fax

Practice location:
  • Phone: 714-509-4220
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number25879
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: