Organization
AVIDA HEALTH SYSTEMS SOLUTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EZEQUIEL SUAREZ MD (CEO)
(818) 398-7771
Entity
Organization
Contact information
Practice address
401 N BRAND BLVD # 525B, GLENDALE, CA 91203-4427
(424) 400-9631
Mailing address
401 N BRAND BLVD # 525B, GLENDALE, CA 91203-4427
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
251B00000X
Case Management Agency
—
—
251F00000X
Home Infusion Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
314000000X
Skilled Nursing Facility
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/15/2024
Last updated
05/13/2025
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