Healthcare Provider Details

I. General information

NPI: 1770377558
Provider Name (Legal Business Name): ECM ALLIANCES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 W LEXINGTON DR STE L100C
GLENDALE CA
91203-2230
US

IV. Provider business mailing address

121 W LEXINGTON DR STE L100C
GLENDALE CA
91203-2230
US

V. Phone/Fax

Practice location:
  • Phone: 818-697-1420
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LAVRENT OVSEPIAN
Title or Position: OFFICER
Credential:
Phone: 818-697-1420