Provider Demographics
NPI:1811516610
Name:SANCHEZ, FABIAN (ATC)
Entity type:Individual
Prefix:
First Name:FABIAN
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1940 NICE DR APT 106
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-4584
Mailing Address - Country:US
Mailing Address - Phone:209-484-8372
Mailing Address - Fax:
Practice Address - Street 1:1940 NICE DR APT 106
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-4584
Practice Address - Country:US
Practice Address - Phone:209-484-8372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-11
Last Update Date:2020-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare