MEDICARE: MRS. CARLA BETH SANCHEZ NP

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	363LF0000X	Family Nurse Practitioner	RN252288 NP10418	CA

General Provider Information

NPI Number	:	1356323711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CARLA BETH SANCHEZ NP

Provider Business Mailing Address
First Line	:	PO BOX 7061
Second Line	:
City	:	CITY OF INDUSTRY
State	:	CA
Zip	:	91744-7061
Country	:	US
Telephone Number	:	626-839-3609
Fax Number	:

Provider Business Practice Location Address
First Line	:	710 WESTWOOD PLZ
Second Line	:	SUITE 1-155
City	:	LOS ANGELES
State	:	CA
Zip	:	90095-8353
Country	:	US
Telephone Number	:	310-794-6556
Fax Number	:

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

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	03/17/2013

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