Healthcare Provider Details

I. General information

NPI: 1851990816
Provider Name (Legal Business Name): MIGUEL H SANCHEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2020
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2513 YOUNGSTOWN RD
TURLOCK CA
95380-9707
US

IV. Provider business mailing address

2513 YOUNGSTOWN RD
TURLOCK CA
95380-9707
US

V. Phone/Fax

Practice location:
  • Phone: 209-667-0327
  • Fax:
Mailing address:
  • Phone: 209-667-0327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: