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NPI Code Detail

MEDICARE: JESSICA SANCHEZ LCSW

MEDICARE: JESSICA 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
11041C0700XClinical Social Worker69942CA

General Provider Information

NPI Number : 1689981946
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA SANCHEZ LCSW
Provider Business Mailing Address
First Line : 1000 CORPORATE CENTER DR STE 650
Second Line :
City : MONTEREY PARK
State : CA
Zip : 91754-7639
Country : US
Telephone Number : 323-526-4016
Fax Number :
Provider Business Practice Location Address
First Line : 1000 CORPORATE CENTER DR STE 650
Second Line :
City : MONTEREY PARK
State : CA
Zip : 91754-7639
Country : US
Telephone Number : 323-526-4016
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2010
Last Update Date : 01/13/2016

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Directions to “ JESSICA SANCHEZ LCSW” Practice Location

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