# EXECUTIVE HEALTH ASSOCIATES CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821743006
- **Authorized official:** MASIULLAH NOOR (CEO)
- **Authorized official phone:** (424) 249-9131

## Contact information

- **Practice address:** 19234 VANOWEN ST STE B, RESEDA, CA 91335-5000
- **Practice address phone:** (424) 249-9131
- **Mailing address:** 19234 VANOWEN ST STE B, RESEDA, CA 91335-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/16/2022
- **Last updated:** 02/16/2022