MEDICARE: HEMLAH HEALTHCARE PSC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1265259410
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEMLAH HEALTHCARE PSC

Provider Business Mailing Address
First Line	:	15910 VENTURA BLVD STE 1701
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91436-2816
Country	:	US
Telephone Number	:	310-933-5688
Fax Number	:	310-616-5188

Provider Business Practice Location Address
First Line	:	996 E NEW CIRCLE RD STE 225
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40505-4127
Country	:	US
Telephone Number	:	310-933-5688
Fax Number	:	310-616-5188

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	MICHAEL FARAH
Credential	:
Telephone Number	:	310-933-5688

Provider Enumeration Date	:	09/20/2024
Last Update Date	:	05/29/2026

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Directions to “HEMLAH HEALTHCARE PSC ” Practice Location

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