Provider Demographics
NPI:1528475456
Name:SANCHEZ, LUZ
Entity type:Individual
Prefix:MISS
First Name:LUZ
Middle Name:
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 1:43101 PORTOLA AVE SPC 67
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-2502
Mailing Address - Country:US
Mailing Address - Phone:760-342-5727
Mailing Address - Fax:
Practice Address - Street 1:45691 MONROE ST STE 1
Practice Address - Street 2:
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201-3943
Practice Address - Country:US
Practice Address - Phone:760-342-5727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-11
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor