MEDICARE: RALPH SANCHEZ JR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1013330711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RALPH SANCHEZ JR

Provider Business Mailing Address
First Line	:	7500 SEVILLE AVE
Second Line	:
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255
Country	:	US
Telephone Number	:	323-585-0153
Fax Number	:	323-585-9287

Provider Business Practice Location Address
First Line	:	7500 SEVILLE AVE
Second Line	:
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255
Country	:	US
Telephone Number	:	323-585-0153
Fax Number	:	323-585-9287

Authorized Official
Title or Position	:	RESIDENT
Name	:	DR. RALPH SANCHEZ
Credential	:
Telephone Number	:	323-585-0153

Provider Enumeration Date	:	01/31/2014
Last Update Date	:	01/31/2014

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