MEDICARE: ABRAHAM 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	2251S0007X	Sports Physical Therapist	PT299745	CA

General Provider Information

NPI Number	:	1306438809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABRAHAM SANCHEZ

Provider Business Mailing Address
First Line	:	3301 YORBA LINDA BLVD APT 116
Second Line	:
City	:	FULLERTON
State	:	CA
Zip	:	92831-1740
Country	:	US
Telephone Number	:	903-609-6010
Fax Number	:

Provider Business Practice Location Address
First Line	:	811 E LAMBERT RD
Second Line	:
City	:	LA HABRA
State	:	CA
Zip	:	90631-6143
Country	:	US
Telephone Number	:	714-612-4162
Fax Number	:

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

Provider Enumeration Date	:	02/05/2021
Last Update Date	:	02/05/2021

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Directions to “ ABRAHAM SANCHEZ ” Practice Location

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