Provider Demographics
NPI:1609670397
Name:SANCHEZ, GENESIS RUTH (PA)
Entity type:Individual
Prefix:
First Name:GENESIS
Middle Name:RUTH
Last Name:SANCHEZ
Suffix:
Gender:
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14206 CUTLER AVE
Mailing Address - Street 2:
Mailing Address - City:BALDWIN PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91706-5218
Mailing Address - Country:US
Mailing Address - Phone:626-558-4131
Mailing Address - Fax:
Practice Address - Street 1:14206 CUTLER AVE
Practice Address - Street 2:
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706-5218
Practice Address - Country:US
Practice Address - Phone:626-558-4131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical