Healthcare Provider Details

I. General information

NPI: 1932666708
Provider Name (Legal Business Name): SANDI MARIE WEBB RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2019
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9808 VENICE BLVD STE 700
CULVER CITY CA
90232-6824
US

IV. Provider business mailing address

517 S IVY AVE
MONROVIA CA
91016-2827
US

V. Phone/Fax

Practice location:
  • Phone: 310-945-3350
  • Fax: 310-945-3356
Mailing address:
  • Phone: 323-244-3355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNP95037259
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number95186337
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: