Provider Demographics
NPI:1013025865
Name:SANCHEZ-ALDANA, GABRIEL JR (MD)
Entity Type:Individual
Prefix:
First Name:GABRIEL
Middle Name:
Last Name:SANCHEZ-ALDANA
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1414 S GRAND AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90015-3072
Mailing Address - Country:US
Mailing Address - Phone:213-419-9600
Mailing Address - Fax:
Practice Address - Street 1:1414 S GRAND AVE STE 200
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-3072
Practice Address - Country:US
Practice Address - Phone:213-419-9600
Practice Address - Fax:213-419-9900
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2020-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA76533207Q00000X
NY262954207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFHC18880FOtherMEDI-CAL
H95005Medicare UPIN
CAFHC18880FOtherMEDI-CAL