Healthcare Provider Details

I. General information

NPI: 1023804747
Provider Name (Legal Business Name): MANUEL SANCHEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2025
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2189 EASTMAN AVE
VENTURA CA
93003-5792
US

IV. Provider business mailing address

297 HAYES AVE
VENTURA CA
93003-2522
US

V. Phone/Fax

Practice location:
  • Phone: 805-639-2600
  • Fax:
Mailing address:
  • Phone: 805-861-8098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: