Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 42223 | CA |
Y | 213EG0000X | General Practice | 42223 | CA |
NPI | 1003031386 |
---|---|
Provider Name | Dr. Carlos E Sanchez |
First Address | Modesto, CA 95356-0377 |
Second Address | Tracy, CA 95376-3445 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2007 |
Last Update Date | 08/07/2007 |