Healthcare Provider Details

I. General information

NPI: 1588427587
Provider Name (Legal Business Name): ENHANCED CARE MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2024
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1668 S GARFIELD AVE FL 2
ALHAMBRA CA
91801-5400
US

IV. Provider business mailing address

1668 S GARFIELD AVE FL 2
ALHAMBRA CA
91801-5400
US

V. Phone/Fax

Practice location:
  • Phone: 626-282-0288
  • Fax:
Mailing address:
  • Phone: 626-282-0288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TAHIRA HASHMI
Title or Position: VP, CLINICAL SERVICES
Credential:
Phone: 909-896-0472