Healthcare Provider Details

I. General information

NPI: 1194680249
Provider Name (Legal Business Name): WEST COAST MOBILE & TRANSITIONAL CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 N GLENOAKS BLVD STE 265
BURBANK CA
91502-1116
US

IV. Provider business mailing address

303 N GLENOAKS BLVD STE 265
BURBANK CA
91502-1116
US

V. Phone/Fax

Practice location:
  • Phone: 818-813-5513
  • Fax: 818-813-5514
Mailing address:
  • Phone: 818-813-5513
  • Fax: 818-813-5514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ELINA NAZARI
Title or Position: BILLER
Credential:
Phone: 818-421-9966