Organization
CENTER FOR HEALTHY LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. INTEKHAB SHAIKH (CHAIRMAN)
(818) 780-2466
Entity
Organization
Contact information
Practice address
15220 VANOWEN ST, VAN NUYS, CA 91405-3607
(818) 780-2466
(818) 780-2465
Mailing address
15220 VANOWEN ST, VAN NUYS, CA 91405-3607
(818) 780-2466
(818) 780-2465
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADU70209F
—
CA
Enumeration date
03/01/2007
Last updated
08/22/2020
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