=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386509057
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ARTURO SANCHEZ
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/16/2025
-----------------------------------------------------
Last Update Date | 12/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 24328 VERMONT AVE STE 316 SUITE 316
-----------------------------------------------------
City | HARBOR CITY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90710-2320
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 866-798-1118
-----------------------------------------------------
Fax | 866-794-4232
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 24328 VERMONT AVE STE 316
-----------------------------------------------------
City | HARBOR CITY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90710-2320
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 866-798-1118
-----------------------------------------------------
Fax | 866-794-4232
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 175T00000X
-----------------------------------------------------
Taxonomy Name | Peer Specialist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------