Basic Information
Provider Information
NPI: 1528323482
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SANCHEZ
FirstName: NORMA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 110 N LA BREA AVE
Address2:  
City: INGLEWOOD
State: CA
PostalCode: 903011708
CountryCode: US
TelephoneNumber: 8009548000
FaxNumber:  
Practice Location
Address1: 110 N LA BREA AVE
Address2:  
City: INGLEWOOD
State: CA
PostalCode: 903011708
CountryCode: US
TelephoneNumber: 8009548000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/06/2012
LastUpdateDate: 12/15/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XA127237CAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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