Provider Demographics
NPI:1497954259
Name:SANCHEZ CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:SANCHEZ CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:RODRIGO
Authorized Official - Middle Name:T
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:661-940-7171
Mailing Address - Street 1:42544 10TH ST W
Mailing Address - Street 2:SUITE G
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-7079
Mailing Address - Country:US
Mailing Address - Phone:661-940-7171
Mailing Address - Fax:
Practice Address - Street 1:42544 10TH ST W
Practice Address - Street 2:SUITE G
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-7079
Practice Address - Country:US
Practice Address - Phone:661-940-7171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC26487111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU6463Medicare UPIN