Healthcare Provider Details
I. General information
NPI: 1821503863
Provider Name (Legal Business Name): HEALTHCARE SOLUTIONS USA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/13/2017
Last Update Date: 05/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16253 LAGUNA CANYON RD STE 100
IRVINE CA
92618-3610
US
IV. Provider business mailing address
15 CORPORATE PARK
IRVINE CA
92606-5119
US
V. Phone/Fax
- Phone: 310-858-0505
- Fax: 310-858-7919
- Phone: 714-972-2222
- Fax: 310-858-7919
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VX0000X |
| Taxonomy | Obstetrics Physician |
| License Number | C42282 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | C42282 |
| License Number State | CA |
VIII. Authorized Official
Name:
BEHNAM
KASHANCHI
Title or Position: OWNER
Credential: MD
Phone: 310-858-0505