Healthcare Provider Details
I. General information
NPI: 1659625002
Provider Name (Legal Business Name): THRIVE COMPREHENSIVE MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/07/2012
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18607 VENTURA BLVD STE 102
TARZANA CA
91356-6804
US
IV. Provider business mailing address
PO BOX 573041
TARZANA CA
91357-3041
US
V. Phone/Fax
- Phone: 818-600-1472
- Fax: 818-600-1494
- Phone: 818-600-1472
- Fax: 818-600-1494
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ARMIN
SHLOMY
ARASHEBEN
Title or Position: CME
Credential: MD
Phone: 818-600-1472