MEDICARE: MS. YOLANDA 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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1174655930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YOLANDA SANCHEZ

Provider Business Mailing Address
First Line	:	9335 HAZARD WAY
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1222
Country	:	US
Telephone Number	:	760-754-9481
Fax Number	:

Provider Business Practice Location Address
First Line	:	1305 UNION PLAZA CT
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92054-5659
Country	:	US
Telephone Number	:	760-754-3481
Fax Number	:

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

Provider Enumeration Date	:	03/09/2007
Last Update Date	:	07/08/2007

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