Healthcare Provider Details
I. General information
NPI: 1598312001
Provider Name (Legal Business Name): US HEALTH CLINICS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/20/2019
Last Update Date: 08/08/2024
Certification Date: 08/08/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15260 VENTURA BLVD FL 12
SHERMAN OAKS CA
91403-5334
US
IV. Provider business mailing address
3751 MOTOR AVE STE 1392
LOS ANGELES CA
90034-6403
US
V. Phone/Fax
- Phone: 747-247-2138
- Fax:
- Phone: 805-625-9245
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2083P0901X |
| Taxonomy | Public Health & General Preventive Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QG0250X |
| Taxonomy | Genetics Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSHUA
BAERWALD
Title or Position: MANAGEMENT
Credential:
Phone: 805-357-5577