Healthcare Provider Details

I. General information

NPI: 1588432736
Provider Name (Legal Business Name): ISAAC HEALTH OF CALIFORNIA, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2023
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1920 HILLHURST AVE # 119
LOS ANGELES CA
90027-2712
US

IV. Provider business mailing address

1920 HILLHURST AVE # 119
LOS ANGELES CA
90027-2712
US

V. Phone/Fax

Practice location:
  • Phone: 888-818-2059
  • Fax:
Mailing address:
  • Phone: 888-818-2059
  • Fax: 855-552-7049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name: JULIUS BRUCH
Title or Position: CEO
Credential:
Phone: 917-214-8653