Healthcare Provider Details

I. General information

NPI: 1285641605
Provider Name (Legal Business Name): L C SANCHEZ DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: LEONARD C SANCHEZ D.P.M.

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 10/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14350 WHITTIER BLVD SUITE 220
WHITTIER CA
90605-2138
US

IV. Provider business mailing address

14350 WHITTIER BLVD SUITE 220
WHITTIER CA
90605-2138
US

V. Phone/Fax

Practice location:
  • Phone: 562-698-9589
  • Fax: 562-698-1798
Mailing address:
  • Phone: 562-698-9589
  • Fax: 562-698-1798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE3232
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: