1932823218 NPI number — DESTINY MARIE SANCHEZ ULTRASOUND TECH

Table of content: DESTINY MARIE SANCHEZ ULTRASOUND TECH (NPI 1932823218)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932823218 NPI number — DESTINY MARIE SANCHEZ ULTRASOUND TECH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SANCHEZ
Provider First Name:
DESTINY
Provider Middle Name:
MARIE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
ULTRASOUND TECH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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:
1932823218
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/29/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8100 PARK PLZ APT 147
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STANTON
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90680-5747
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-579-9275
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1018 N TUSTIN ST APT 147
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ORANGE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92867-5958
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-644-9955
Provider Business Practice Location Address Fax Number:
714-793-6908
Provider Enumeration Date:
09/29/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2471S1302X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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