ADVANCED HOLISTIC HEALTHCARE INC. NPI 1184959793

NPI Information

NPI: 1184959793
Provider Name: ADVANCED HOLISTIC HEALTHCARE INC.
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 05D2038379

Address:
4139 VERDUGO RD
LOS ANGELES, CA
ZIP 90065
Phone: (323) 258-2256
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ADVANCED HOLISTIC HEALTHCARE INC. is a general practice in Los Angeles, CA. ADVANCED HOLISTIC HEALTHCARE INC. NPI is 1184959793. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4139 VERDUGO RD
LOS ANGELES, CA
ZIP 90065-820
Phone: (323) 258-2256
Fax: (234) 746-6223

The provider's authorized official is Steven Rosenblatt .
The authorized official title is President and has the following contact phone number (323) 344-9255.

The CLIA number assigned to this NPI record is 05D2038379 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/15/2009 and was last updated on 4/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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