1194236141 NPI number — ROBERT SANCHEZ CHIROPRACTIC, PC

Table of content: PERLA CAROLINA OROZCO BARAJAS (NPI 1326459066)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194236141 NPI number — ROBERT SANCHEZ CHIROPRACTIC, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROBERT SANCHEZ CHIROPRACTIC, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194236141
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/22/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1221 FLAGMAN WAY STE B1
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SANTA FE
Provider Business Mailing Address State Name:
NM
Provider Business Mailing Address Postal Code:
87505-1137
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
505-398-0458
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5755 OBERLIN DR STE 301
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92121-4717
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-247-2413
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/17/2017

Additional Information

Authorized Official

Authorized Official Last Name:
SANCHEZ
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
505-398-0458

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X , with the licence number:  33605 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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