Provider Demographics
NPI:1124200571
Name:LEONARD C. SANCHEZ, D.P.M.
Entity Type:Organization
Organization Name:LEONARD C. SANCHEZ, D.P.M.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:C
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:562-698-9589
Mailing Address - Street 1:14350 WHITTIER BLVD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90605-2138
Mailing Address - Country:US
Mailing Address - Phone:562-698-9589
Mailing Address - Fax:562-698-1798
Practice Address - Street 1:14350 WHITTIER BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90605-2138
Practice Address - Country:US
Practice Address - Phone:562-698-9589
Practice Address - Fax:562-698-1798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-28
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE3232213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT19285Medicare UPIN
CA0404380001Medicare NSC