MEDICARE: STEVEN SANCHEZ

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	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1134618614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN SANCHEZ

Provider Business Mailing Address
First Line	:	516 E CARSON PLAZA CT
Second Line	:
City	:	CARSON
State	:	CA
Zip	:	90746-3214
Country	:	US
Telephone Number	:	310-327-1325
Fax Number	:	310-327-7058

Provider Business Practice Location Address
First Line	:	516 E CARSON PLAZA CT
Second Line	:
City	:	CARSON
State	:	CA
Zip	:	90746-3214
Country	:	US
Telephone Number	:	310-327-1325
Fax Number	:	310-327-7058

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2018
Last Update Date	:	09/15/2023

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Directions to “ STEVEN SANCHEZ ” Practice Location

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