Provider Demographics
NPI:1609263862
Name:SANCHEZ, CARLOS III
Entity Type:Individual
Prefix:
First Name:CARLOS
Middle Name:
Last Name:SANCHEZ
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5012 NOVGOROD ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90032-1605
Mailing Address - Country:US
Mailing Address - Phone:323-369-4941
Mailing Address - Fax:
Practice Address - Street 1:333 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90013-1724
Practice Address - Country:US
Practice Address - Phone:213-625-5009
Practice Address - Fax:213-625-5025
Is Sole Proprietor?:No
Enumeration Date:2015-04-24
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)