Healthcare Provider Details

I. General information

NPI: 1356257943
Provider Name (Legal Business Name): JOSE L. GARCIA-SANCHEZ JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1465 30TH ST STE K
SAN DIEGO CA
92154-3497
US

IV. Provider business mailing address

1406 LAYTONVILLE PL
CHULA VISTA CA
91913-1818
US

V. Phone/Fax

Practice location:
  • Phone: 619-428-1000
  • Fax:
Mailing address:
  • Phone: 619-601-6407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: