Basic Information
| Provider Information | |||||||||
| NPI: | 1831564723 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SANCHEZ | ||||||||
| FirstName: | DELIA | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 981 | ||||||||
| Address2: | |||||||||
| City: | PARAMOUNT | ||||||||
| State: | CA | ||||||||
| PostalCode: | 907230981 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2133262193 | ||||||||
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| Practice Location | |||||||||
| Address1: | 155 N OCCIDENTAL BLVD | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900264641 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2133812931 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/03/2015 | ||||||||
| LastUpdateDate: | 07/19/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/19/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | CA | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 106H00000X | AMFT129729 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist | 106H00000X | AMFT89872 | CA | N | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.