MEDICARE: UNITY HEALTH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1063357440
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITY HEALTH, LLC

Provider Business Mailing Address
First Line	:	5757 W CENTURY BLVD STE 301
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-6454
Country	:	US
Telephone Number	:	213-878-0574
Fax Number	:

Provider Business Practice Location Address
First Line	:	5757 W CENTURY BLVD STE 301
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-6454
Country	:	US
Telephone Number	:	909-672-9089
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CHARBEL BOUEZZ
Credential	:
Telephone Number	:	213-878-0574

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	06/16/2026

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Directions to “UNITY HEALTH, LLC ” Practice Location

Language	Start Address	Practice Location

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