Healthcare Provider Details

I. General information

NPI: 1366398752
Provider Name (Legal Business Name): PRESCRIBED WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2026
Last Update Date: 03/07/2026
Certification Date: 03/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12020 GUERIN ST APT 103
STUDIO CITY CA
91604-2036
US

IV. Provider business mailing address

12605 VENTURA BLVD # 1204
STUDIO CITY CA
91604-2415
US

V. Phone/Fax

Practice location:
  • Phone: 661-932-1892
  • Fax:
Mailing address:
  • Phone: 661-932-1892
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: VERONICA INDIRA SANCHEZ
Title or Position: CEO
Credential: MD
Phone: 661-932-1892