Healthcare Provider Details

I. General information

NPI: 1730104605
Provider Name (Legal Business Name): FOREMOST HEALTH CARE MANAGEMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6819 SEPULVEDA BLVD # 206
VAN NUYS CA
91405-4463
US

IV. Provider business mailing address

6819 SEPULVEDA BLVD # 206
VAN NUYS CA
91405-4463
US

V. Phone/Fax

Practice location:
  • Phone: 818-787-0181
  • Fax: 818-787-0231
Mailing address:
  • Phone: 818-787-0181
  • Fax: 818-787-0231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. LEONILO S STA MARIA III
Title or Position: CEO
Credential:
Phone: 818-787-0181