Healthcare Provider Details
I. General information
NPI: 1972448421
Provider Name (Legal Business Name): PRESCRIBED WELLNESS PSYCHIATRY, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/21/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
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
- Phone: 661-932-1892
- Fax:
- Phone: 661-932-1892
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
VERONICA
INDIRA
SANCHEZ
Title or Position: CEO
Credential: MD
Phone: 661-932-1892