Provider Demographics
NPI:1871597690
Name:SANCHEZ, ANA M (MD)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:M
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 1:424 S MAIN ST
Mailing Address - Street 2:STE N
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3828
Mailing Address - Country:US
Mailing Address - Phone:714-712-7373
Mailing Address - Fax:714-721-7377
Practice Address - Street 1:424 S MAIN ST
Practice Address - Street 2:STE N
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3828
Practice Address - Country:US
Practice Address - Phone:714-712-7373
Practice Address - Fax:714-721-7377
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG54162207V00000X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Not Answered207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G541621Medicaid
CAA93279Medicare UPIN
CAG54162Medicare ID - Type UnspecifiedPROVIDER NUMBER