Organization
EXECUTIVE HEALTH ASSOCIATES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASIULLAH NOOR (CEO)
(424) 249-9131
Entity
Organization
Contact information
Practice address
19234 VANOWEN ST STE B, RESEDA, CA 91335-5000
(424) 249-9131
Mailing address
19234 VANOWEN ST STE B, RESEDA, CA 91335-5000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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