Provider Demographics
NPI:1902371495
Name:SANCHEZ, MARIA D (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:D
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
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Other - First Name:
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Mailing Address - Street 1:140 N ORANGE AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-2032
Mailing Address - Country:US
Mailing Address - Phone:626-800-1200
Mailing Address - Fax:626-962-2433
Practice Address - Street 1:140 N ORANGE AVE STE 104
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-2032
Practice Address - Country:US
Practice Address - Phone:626-800-1200
Practice Address - Fax:626-962-2433
Is Sole Proprietor?:No
Enumeration Date:2018-10-10
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA56053363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant