Provider Demographics
NPI:1821225517
Name:SANCHEZ, JENNY O
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:O
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 WILLIAMSON AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90022-2734
Mailing Address - Country:US
Mailing Address - Phone:323-722-8508
Mailing Address - Fax:
Practice Address - Street 1:560 WILLIAMSON AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90022-2734
Practice Address - Country:US
Practice Address - Phone:323-722-8508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-19
Last Update Date:2009-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator