Provider Demographics
NPI:1508886672
Name:SANCHEZ, ELIAS F (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIAS
Middle Name:F
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6780 INDIANA AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-4270
Mailing Address - Country:US
Mailing Address - Phone:951-682-1622
Mailing Address - Fax:951-682-5902
Practice Address - Street 1:6780 INDIANA AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-4270
Practice Address - Country:US
Practice Address - Phone:951-682-1622
Practice Address - Fax:951-682-5902
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2010-11-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA67841207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH42408Medicare UPIN