MEDICARE: HERNAN ALBERTO SANCHEZ RRT; NRP

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	2278G1100X	General Care Certified Respiratory Therapist	27958	CA
2	2279P3900X	Neonatal/Pediatric Registered Respiratory Therapist	27958	CA

General Provider Information

NPI Number	:	1245710037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HERNAN ALBERTO SANCHEZ RRT; NRP

Provider Business Mailing Address
First Line	:	5601 DE SOTO AVE
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91367-6701
Country	:	US
Telephone Number	:	818-719-3525
Fax Number	:

Provider Business Practice Location Address
First Line	:	5601 DE SOTO AVE
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91367-6701
Country	:	US
Telephone Number	:	818-719-3525
Fax Number	:

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

Provider Enumeration Date	:	08/21/2018
Last Update Date	:	08/21/2018

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Directions to “ HERNAN ALBERTO SANCHEZ RRT; NRP” Practice Location

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