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NPI Code Detail

MEDICARE: GRACE SANCHEZ

MEDICARE:   GRACE  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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1568927861
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE SANCHEZ
Provider Business Mailing Address
First Line : 4310 CITY TERRACE DR
Second Line :
City : LOS ANGELES
State : CA
Zip : 90063-1019
Country : US
Telephone Number : 323-580-7994
Fax Number :
Provider Business Practice Location Address
First Line : 1230 ROSECRANS AVE STE 250
Second Line :
City : MANHATTAN BCH
State : CA
Zip : 90266-2496
Country : US
Telephone Number : 310-406-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2019
Last Update Date : 01/31/2019

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Directions to “ GRACE SANCHEZ ” Practice Location

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