Healthcare Provider Details

I. General information

NPI: 1598682072
Provider Name (Legal Business Name): EASY HEALTH MEDICAL SOLUTIONS NEVADA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 E CARSON AVE FL 10
LAS VEGAS NV
89101-5905
US

IV. Provider business mailing address

8605 SANTA MONICA BLVD PMB 38903
WEST HOLLYWOOD CA
90069
US

V. Phone/Fax

Practice location:
  • Phone: 888-836-0510
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JACOB KSENDZOV
Title or Position: COO
Credential:
Phone: 818-397-5889