Individual
GARY M. SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1100 S ELISEO DR STE 1, GREENBRAE, CA 94904-2017
(415) 514-6868
Mailing address
1441 FLORIDA AVE, MODESTO, CA 95350-4404
(209) 576-3601
(209) 576-3680
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14454
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD069A
GROUP MEDICARE #
CA
Enumeration date
07/27/2006
Last updated
03/10/2023
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