Healthcare Provider Details

I. General information

NPI: 1578427704
Provider Name (Legal Business Name): NORIS SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 OCEAN FRONT WALK
VENICE CA
90291-2403
US

IV. Provider business mailing address

1414 W VERNON AVE
LOS ANGELES CA
90062-1800
US

V. Phone/Fax

Practice location:
  • Phone: 310-392-3070
  • Fax:
Mailing address:
  • Phone: 323-877-9901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number754906
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: