Provider Demographics
NPI:1104998152
Name:SANCHEZ, GLORIA MARGARET (NP)
Entity type:Individual
Prefix:MRS
First Name:GLORIA
Middle Name:MARGARET
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:13640 PRECIADO AVE
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-4920
Mailing Address - Country:US
Mailing Address - Phone:909-628-7323
Mailing Address - Fax:
Practice Address - Street 1:9057 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-1622
Practice Address - Country:US
Practice Address - Phone:909-398-4958
Practice Address - Fax:909-398-4979
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA6814363LX0001X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology