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NPI Code Detail

MEDICARE: IVETTE IRENE SANCHEZ

MEDICARE:   IVETTE IRENE 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
1106H00000XMarriage & Family TherapistIMF68528CA

General Provider Information

NPI Number : 1649308362
Entity Type Code : Individual
Provider Name (Legal Business Name) : IVETTE IRENE SANCHEZ
Provider Business Mailing Address
First Line : 2000 TYLER AVE
Second Line :
City : SOUTH EL MONTE
State : CA
Zip : 91733-3543
Country : US
Telephone Number : 626-442-1400
Fax Number : 626-448-3425
Provider Business Practice Location Address
First Line : 2000 TYLER AVE
Second Line :
City : SOUTH EL MONTE
State : CA
Zip : 91733-3543
Country : US
Telephone Number : 626-442-1400
Fax Number : 626-448-3425
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 12/06/2016

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Directions to “ IVETTE IRENE SANCHEZ ” Practice Location

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