Healthcare Provider Details

I. General information

NPI: 1598376311
Provider Name (Legal Business Name): ASHLEY SANCHEZ ASW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2020
Last Update Date: 10/09/2020
Certification Date: 10/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 F ST
WASCO CA
93280-2040
US

IV. Provider business mailing address

9036 RUBEN ST
LAMONT CA
93241-1039
US

V. Phone/Fax

Practice location:
  • Phone: 661-758-4029
  • Fax:
Mailing address:
  • Phone: 661-703-8192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number97398
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: