Provider Demographics
NPI:1609004837
Name:SANCHEZ, VENICE LOPEZ (MD)
Entity type:Individual
Prefix:DR
First Name:VENICE
Middle Name:LOPEZ
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20311 SW BIRCH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-1777
Mailing Address - Country:US
Mailing Address - Phone:949-345-5990
Mailing Address - Fax:949-861-6514
Practice Address - Street 1:20311 SW BIRCH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-1777
Practice Address - Country:US
Practice Address - Phone:949-345-5990
Practice Address - Fax:949-861-6514
Is Sole Proprietor?:No
Enumeration Date:2009-06-25
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1152322084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry