Healthcare Provider Details

I. General information

NPI: 1689361321
Provider Name (Legal Business Name): ALLEVIATE MEDICAL ASSOCIATES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2023
Last Update Date: 06/05/2023
Certification Date: 06/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18300 ROSCOE BLVD
NORTHRIDGE CA
91325-4167
US

IV. Provider business mailing address

2660 FEATHERWOOD ST
WESTLAKE VILLAGE CA
91362-5148
US

V. Phone/Fax

Practice location:
  • Phone: 818-642-0184
  • Fax:
Mailing address:
  • Phone: 818-642-0184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MOHAMMED FAROOQUI
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 818-275-8636