ADVANCE HEALTH INTEGRATIVE MEDICINE
NPI 1891016028
Clinic/Center - Primary Care in Los Angeles, CA
Active since June 22, 2010
About Advance Health Integrative Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCE HEALTH INTEGRATIVE MEDICINE (NPI 1891016028) is a healthcare organization registered as a primary care in Los Angeles, California and active in the NPI registry since June 2010. The organization lists Rashel John Tahzib, President And Medical Director, as its authorized official.
NPPES Registry Identity
NPI1891016028
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameADVANCE HEALTH INTEGRATIVE MEDICINE
Location Address11633 SAN VICENTE BLVD # 107Los Angeles, CA 90049-6511
Mailing Address11633 San Vicente Blvd # 107Los Angeles, CA 90049-6511 · (310) 779-9537
Phone(310) 779-9537
Organization SubpartNo
Authorized OfficialRashel John TahzibPresident And Medical Director · (310) 779-9537
Enumeration DateJune 22, 2010
✔ NPI 1891016028 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · 20A9090
11633 SAN VICENTE BLVD # 107, Los Angeles, CA 90049
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891016028, enumerated as an "organization" on June 22, 2010.
The provider is located at 11633 SAN VICENTE BLVD # 107 LOS ANGELES, CA 90049 and the phone number is (310) 779-9537.
Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.
