MEDICARE: ENHANCED CARE MANAGEMENT

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	261Q00000X	Clinic/Center
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1588427587
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENHANCED CARE MANAGEMENT

Provider Business Mailing Address
First Line	:	1668 S GARFIELD AVE FL 2
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91801-5400
Country	:	US
Telephone Number	:	626-282-0288
Fax Number	:

Provider Business Practice Location Address
First Line	:	1668 S GARFIELD AVE FL 2
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91801-5400
Country	:	US
Telephone Number	:	626-282-0288
Fax Number	:

Authorized Official
Title or Position	:	VP, CLINICAL SERVICES
Name	:	TAHIRA HASHMI
Credential	:
Telephone Number	:	909-896-0472

Provider Enumeration Date	:	02/01/2024
Last Update Date	:	03/05/2026

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