Provider Demographics
NPI:1487197778
Name:IRENE SANCHEZ, M.D APC
Entity Type:Organization
Organization Name:IRENE SANCHEZ, M.D APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-633-2125
Mailing Address - Street 1:4200 BUCK OWENS BLVD
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-4935
Mailing Address - Country:US
Mailing Address - Phone:661-633-2125
Mailing Address - Fax:661-633-1892
Practice Address - Street 1:4200 BUCK OWENS BLVD
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-4935
Practice Address - Country:US
Practice Address - Phone:661-633-2125
Practice Address - Fax:661-633-1892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50850261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
11725015OtherCAQH
1730228438OtherNPI/INDIVIDUAL
CAA50850OtherMEDICAL LICENSE
DCBS3826748OtherDEA NUMBER