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NPI Code Detail

MEDICARE: MR. JUAN ALBERTO SANCHEZ LCSW

MEDICARE: MR. JUAN ALBERTO SANCHEZ LCSW
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
1104100000XSocial Worker12558CA
21041C0700XClinical Social Worker25198CA

General Provider Information

NPI Number : 1609941947
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JUAN ALBERTO SANCHEZ LCSW
Provider Business Mailing Address
First Line : PO BOX 1782
Second Line :
City : SAN JOSE
State : CA
Zip : 95109-1782
Country : US
Telephone Number : 408-398-0026
Fax Number :
Provider Business Practice Location Address
First Line : 2090 EVANS LN
Second Line :
City : SAN JOSE
State : CA
Zip : 95125-2072
Country : US
Telephone Number : 408-793-2415
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2006
Last Update Date : 04/01/2015

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