Healthcare Provider Details

I. General information

NPI: 1326628587
Provider Name (Legal Business Name): ESMERALDA SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2021
Last Update Date: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8551 VESPER AVE
PANORAMA CITY CA
91402-2914
US

IV. Provider business mailing address

8551 VESPER AVE
PANORAMA CITY CA
91402-2914
US

V. Phone/Fax

Practice location:
  • Phone: 866-590-6411
  • Fax:
Mailing address:
  • Phone: 866-590-6411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number12483
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: