Healthcare Provider Details

I. General information

NPI: 1487165494
Provider Name (Legal Business Name): ALBA SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2017
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2509 PICO BLVD # 90504
SANTA MONICA CA
90405-1828
US

IV. Provider business mailing address

2509 PICO BLVD # 90504
SANTA MONICA CA
90405-1828
US

V. Phone/Fax

Practice location:
  • Phone: 310-664-7590
  • Fax: 310-664-7913
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW77877
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number99514
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: