Healthcare Provider Details

I. General information

NPI: 1104570357
Provider Name (Legal Business Name): METICULOUS HEALTH CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2022
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6850 SEPULVEDA BLVD STE 217
VAN NUYS CA
91405-4466
US

IV. Provider business mailing address

6250 N DURANGO DR
LAS VEGAS NV
89149-3916
US

V. Phone/Fax

Practice location:
  • Phone: 818-901-7855
  • Fax: 818-901-1915
Mailing address:
  • Phone: 702-800-2927
  • Fax: 702-425-9570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: RABI ALAM
Title or Position: PRESIDENT
Credential: MD
Phone: 818-913-1140