Provider Demographics
NPI:1285641605
Name:SANCHEZ, L C (DPM)
Entity Type:Individual
Prefix:
First Name:L
Middle Name:C
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:LEONARD
Other - Middle Name:C
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2010-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE3232213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE3232OtherMEDICARE PROVIDER ID
CAT19285Medicare UPIN
CA0404380001Medicare NSC