Healthcare Provider Details

I. General information

NPI: 1841112448
Provider Name (Legal Business Name): BILAN HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8206 LOUISIANA BLVD NE
ALBUQUERQUE NM
87113-1738
US

IV. Provider business mailing address

8206 LOUISIANA BLVD NE
ALBUQUERQUE NM
87113-1738
US

V. Phone/Fax

Practice location:
  • Phone: 507-319-8388
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MUMIN OMAR
Title or Position: CEO
Credential:
Phone: 507-319-8388