Provider Demographics
NPI:1386298107
Name:SANCHEZ, DENISE MILAGROS
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:MILAGROS
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13701 HUBBARD ST UNIT 29
Mailing Address - Street 2:
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-0351
Mailing Address - Country:US
Mailing Address - Phone:818-523-3688
Mailing Address - Fax:
Practice Address - Street 1:6851 LENNOX AVE STE 400
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-4075
Practice Address - Country:US
Practice Address - Phone:818-989-9214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-30
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker