Healthcare Provider Details

I. General information

NPI: 1588462261
Provider Name (Legal Business Name): EASY HEALTH MEDICAL SOLUTIONS MI PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2025
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10960 WILSHIRE BLVD STE 406
LOS ANGELES CA
90024-3704
US

IV. Provider business mailing address

8605 SANTA MONICA BLVD # 38903
WEST HOLLYWOOD CA
90069-4109
US

V. Phone/Fax

Practice location:
  • Phone: 714-290-2962
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: OLUBUSOLA BRIMMO
Title or Position: PRESIDENT/OWNER
Credential: MD
Phone: 678-977-5507