EXECUTIVE MEDICAL GROUP LLC
NPI 1194437707
Home Health in North Hollywood, CA

Q: What is Executive Medical Group LLC's NPI number?

The NPI number for Executive Medical Group LLC is 1194437707. It was assigned to this organization in the NPPES registry on December 15, 2022.

Q: What is Executive Medical Group LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since December 15, 2022

1115 AQUA VISTA ST, UNIT 405, NORTH HOLLYWOOD, CA 91602(310) 381-9093 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Executive Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXECUTIVE MEDICAL GROUP LLC (NPI 1194437707) is a healthcare organization registered as a home health in North Hollywood, California and active in the NPI registry since December 2022. The organization lists Jean-claude Kiarash, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194437707

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameEXECUTIVE MEDICAL GROUP LLC

Location Address1115 AQUA VISTA ST, UNIT 405North Hollywood, CA 91602

Mailing Address8605 Santa Monica BlvdWest Hollywood, CA 90069-4109

Phone(310) 381-9093

Organization SubpartNo

Authorized OfficialJean-claude KiarashCeo · (310) 381-9093

Enumeration DateDecember 15, 2022

NPPES CertifiedDecember 15, 2022

✔ NPI 1194437707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedHospice Care, Community BasedTaxonomy 251G00000X

Also ListedNursing CareTaxonomy 251J00000X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

1115 AQUA VISTA ST, North Hollywood, CA 91602

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Executive Medical Group LLC's NPI number?

The NPI number for Executive Medical Group LLC is 1194437707. It was assigned to this organization in the NPPES registry on December 15, 2022.

Where is Executive Medical Group LLC located?

Executive Medical Group LLC is located at 1115 Aqua Vista St Unit 405, North Hollywood, CA 91602. The listed phone number is (310) 381-9093.

What is Executive Medical Group LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Executive Medical Group LLC was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.