=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538130893
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EL PROYECTO DEL BARRIO, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/26/2006
-----------------------------------------------------
Last Update Date | 10/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 20800 SHERMAN WAY
-----------------------------------------------------
City | WINNETKA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91306-2707
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-883-2273
-----------------------------------------------------
Fax | 818-347-4257
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 20800 SHERMAN WAY
-----------------------------------------------------
City | WINNETKA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91306-2707
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-883-2273
-----------------------------------------------------
Fax | 818-587-4808
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/CEO
-----------------------------------------------------
Name | CORINNE JESSIE SANCHEZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 818-810-3500
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QD0000X
-----------------------------------------------------
Taxonomy Name | Dental Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 261QF0400X
-----------------------------------------------------
Taxonomy Name | Federally Qualified Health Center (FQHC)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------