Healthcare Provider Details

I. General information

NPI: 1639263551
Provider Name (Legal Business Name): VERONICA I SANCHEZ L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 04/04/2023
Certification Date: 04/04/2023
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: 818-480-8227
  • Fax: 818-549-1300
Mailing address:
  • Phone: 818-480-8227
  • Fax: 818-549-0075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95024597
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 10060
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: