Provider Demographics
NPI:1922539261
Name:SANCHEZ, DESIREE E (MD)
Entity type:Individual
Prefix:
First Name:DESIREE
Middle Name:E
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2750 SYCAMORE DR STE 210
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-1500
Mailing Address - Country:US
Mailing Address - Phone:805-577-8460
Mailing Address - Fax:805-577-8462
Practice Address - Street 1:2750 SYCAMORE DR STE 210
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-1500
Practice Address - Country:US
Practice Address - Phone:805-577-8460
Practice Address - Fax:805-577-8462
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-27
Last Update Date:2025-07-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA160954208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology