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General NPI Number Information
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NPI Number | 1376462382
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Entity Type | Individual
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Provider Name | CORY JACOB SANCHEZ
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Gender | Male
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 527 N PALM AVE STE 103
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City | ONTARIO
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State | CA
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Zip | 91762-3215
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Country | US
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Telephone | 909-657-9164
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Fax |
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Provider Business Mailing Address
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Address Line | 5235 RENOIR LN
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City | CHINO HILLS
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State | CA
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Zip | 91709-4676
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 10261
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License Number State | CA
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