Provider Demographics
NPI:1629847363
Name:SANCHEZ, AURORA ESTHER (RDN)
Entity Type:Individual
Prefix:
First Name:AURORA
Middle Name:ESTHER
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6780 INDIANA AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-4284
Mailing Address - Country:US
Mailing Address - Phone:951-682-1622
Mailing Address - Fax:
Practice Address - Street 1:6780 INDIANA AVE STE 110
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-4284
Practice Address - Country:US
Practice Address - Phone:951-682-1622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86076400133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered