Provider Demographics
NPI:1336414481
Name:SANCHEZ, DONNA (DACM, LAC)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:DACM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7499
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91802-7499
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10 W BAY STATE ST
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91802-3044
Practice Address - Country:US
Practice Address - Phone:626-371-3645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-21
Last Update Date:2024-01-25
Deactivation Date:2019-01-25
Deactivation Code:
Reactivation Date:2023-02-14
Provider Licenses
StateLicense IDTaxonomies
CA14333171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist