Healthcare Provider Details

I. General information

NPI: 1649196734
Provider Name (Legal Business Name): RISING HEALTH WELLNESS & PREVENTIVE TELEMEDICINE NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1703 TERMINO AVE STE 206
LONG BEACH CA
90804-2128
US

IV. Provider business mailing address

1920 FAUST AVE
LONG BEACH CA
90815-4514
US

V. Phone/Fax

Practice location:
  • Phone: 562-257-8147
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: MERRY TAHERI
Title or Position: OWNER
Credential:
Phone: 909-917-5651