Provider Demographics
NPI:1760643308
Name:SANCHEZ, DENNIS SABUG (DPT)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:SABUG
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:DR
Other - First Name:DENNIS
Other - Middle Name:SABUG
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:719 W MARIPOSA AVE
Mailing Address - Street 2:
Mailing Address - City:EL SEGUNDO
Mailing Address - State:CA
Mailing Address - Zip Code:90245-2964
Mailing Address - Country:US
Mailing Address - Phone:808-955-0986
Mailing Address - Fax:
Practice Address - Street 1:2615 PACIFIC COAST HWY
Practice Address - Street 2:STE 321
Practice Address - City:HERMOSA BEACH
Practice Address - State:CA
Practice Address - Zip Code:90254-2225
Practice Address - Country:US
Practice Address - Phone:310-798-6310
Practice Address - Fax:310-798-6312
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 34695225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist