Healthcare Provider Details

I. General information

NPI: 1083378061
Provider Name (Legal Business Name): BRIGHT FLOURISHING HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2021
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23206 LYONS AVE STE 209
SANTA CLARITA CA
91321-2672
US

IV. Provider business mailing address

23206 LYONS AVE STE 209
SANTA CLARITA CA
91321-2672
US

V. Phone/Fax

Practice location:
  • Phone: 747-210-0522
  • Fax:
Mailing address:
  • Phone: 747-210-0522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. NASER AHMADI
Title or Position: CEO, BRIGHT FLOURISHING HEALTH
Credential: MD PHD
Phone: 310-803-0443