Healthcare Provider Details

I. General information

NPI: 1396319869
Provider Name (Legal Business Name): INNERMOVEMENT WELLNESS & ACUPUNCTURE A PROF CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2021
Last Update Date: 09/02/2025
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 N MARYLAND AVE STE 309
GLENDALE CA
91206-4281
US

IV. Provider business mailing address

230 N MARYLAND AVE STE 309
GLENDALE CA
91206-4281
US

V. Phone/Fax

Practice location:
  • Phone: 818-549-1300
  • Fax: 818-549-7500
Mailing address:
  • Phone: 818-549-1300
  • Fax: 818-549-7500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VERONICA I SANCHEZ
Title or Position: OWNER
Credential: MSN, FNP-BC, LAC
Phone: 818-549-1300