Healthcare Provider Details

I. General information

NPI: 1164219887
Provider Name (Legal Business Name): MONARCH WELLNESS CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10700 VENTURA BLVD # 2A2C
STUDIO CITY CA
91604-3561
US

IV. Provider business mailing address

10700 VENTURA BLVD # 2A2C
STUDIO CITY CA
91604-3561
US

V. Phone/Fax

Practice location:
  • Phone: 651-200-0000
  • Fax:
Mailing address:
  • Phone: 651-200-0000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. SARKIS MANUKYAN
Title or Position: CEO
Credential:
Phone: 651-200-0000