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NPI Code Detail

MEDICARE: PRISCILLA EMELY SANCHEZ

MEDICARE:   PRISCILLA EMELY 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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1609906254
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRISCILLA EMELY SANCHEZ
Provider Business Mailing Address
First Line : 3031 S VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90007-3033
Country : US
Telephone Number : 323-766-2360
Fax Number : 323-766-2370
Provider Business Practice Location Address
First Line : 3031 S. VERMONT AVENUE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90007-3033
Country : US
Telephone Number : 323-766-2360
Fax Number : 323-373-2442
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 07/08/2007

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Directions to “ PRISCILLA EMELY SANCHEZ ” Practice Location

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