Healthcare Provider Details

I. General information

NPI: 1891199329
Provider Name (Legal Business Name): 2020HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2014
Last Update Date: 10/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8635 W 3RD ST SUITE 1050W
LOS ANGELES CA
90048-6101
US

IV. Provider business mailing address

PO BOX 516
BEVERLY HILLS CA
90213-0516
US

V. Phone/Fax

Practice location:
  • Phone: 310-556-2020
  • Fax: 310-788-8477
Mailing address:
  • Phone: 310-556-2020
  • Fax: 310-788-8477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: PAYAM R YASHAR
Title or Position: PRESIDENT
Credential: MD
Phone: 310-553-2020