Executive Medical Group Llc

LBN: Executive Medical Group Llc
Executive Medical Group Llc is an health care organization with primary practice located at 1115 Aqua Vista St Unit 405, North Hollywood CA 91602. The organization recently has 5 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Home Health, Agencies / Hospice Care, Community Based, Agencies / Nursing Care, Agencies / In Home Supportive Care. Agencies / Home Health is the primary health care specialty. Executive Medical Group Llc can be contacted via phone (310) 381-9093, or through Kiarash, Jean-Claude via phone (310) 381-9093.

Contact Information

Primary practice address
1115 Aqua Vista St Unit 405 North Hollywood CA 91602
Phone: (310) 381-9093
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kiarash, Jean-Claude
Phone: (310) 381-9093

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Home Health 251E00000X
Agencies / Hospice Care, Community Based 251G00000X
Agencies / Nursing Care 251J00000X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1194437707
LBN Legal business name Executive Medical Group Llc
DBA Doing business as
Authorized official Kiarash, Jean-Claude
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2022
Last updated Dec 15th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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