| Executive Health Associates Corp | |
|
19234 Vanowen St Ste B Reseda CA 91335-5000 | |
| (424) 249-9131 | |
| Not Available |
| Full Name | Executive Health Associates Corp |
|---|---|
| Speciality | General Practice |
| Location | 19234 Vanowen St Ste B, Reseda, California |
| Authorized Official Name and Position | Masiullah Noor (CEO) |
| Authorized Official Contact | 4242499131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Executive Health Associates Corp 19234 Vanowen St Ste B Reseda CA 91335-5000 Ph: () - | Executive Health Associates Corp 19234 Vanowen St Ste B Reseda CA 91335-5000 Ph: (424) 249-9131 |
| NPI Number | 1821743006 |
|---|---|
| Provider Enumeration Date | 02/16/2022 |
| Last Update Date | 02/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821743006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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