Organization Name: | ELITE MEDICAL EVALUATION CENTERS |
NPI Number: | 1841549425 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT HASHEMIYOON (PRESIDENT) |
Mailing Address: | 13207 Ventura Blvd Studio City |
State: | CA US |
Postal Code: | 916041864 |
Phone Number: | 3102715875 |
Fax Number: | 8185080224 |
NPI Enumeration Date: | 08/29/2012 |
NPI Last Update Date: | 05/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G86202 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |