Healthcare Provider Details

I. General information

NPI: 1780417030
Provider Name (Legal Business Name): LYLA HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2024
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 THE GRN STE A
DOVER DE
19901-3618
US

IV. Provider business mailing address

1601 5TH AVE
SEATTLE WA
98101-3621
US

V. Phone/Fax

Practice location:
  • Phone: 800-260-1271
  • Fax: 206-260-4122
Mailing address:
  • Phone: 800-260-1271
  • Fax: 206-260-4122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: SAAMIR MOHAMED
Title or Position: OWNER
Credential:
Phone: 425-403-5844