Provider Demographics
NPI:1639263551
Name:SANCHEZ, VERONICA I (LAC)
Entity Type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:I
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:230 N MARYLAND AVE STE 309
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-4281
Mailing Address - Country:US
Mailing Address - Phone:818-480-8227
Mailing Address - Fax:818-549-0075
Practice Address - Street 1:230 N MARYLAND AVE STE 309
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-4281
Practice Address - Country:US
Practice Address - Phone:818-480-8227
Practice Address - Fax:818-549-1300
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 10060171100000X
CANP95024597363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No171100000XOther Service ProvidersAcupuncturist